Individual
SHANEIKA GOULDBOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1511 CHRISTY DR, JEFFERSON CITY, MO 65101-2854
(573) 632-2777
Mailing address
4900 NW 18TH CT, LAUDERHILL, FL 33313-4125
(954) 982-3733
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2026025306
MO
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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