Individual
DR. SHANE T. CITRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
5090 E HILL RD, GRAND BLANC, MI 48439-7637
(810) 445-9970
(810) 445-9971
Mailing address
5090 E HILL RD, GRAND BLANC, MI 48439-7637
(810) 445-9970
(810) 445-9971
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
03796
NH
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
2901017389
MI
Other
Enumeration date
08/09/2010
Last updated
02/15/2023
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