Individual
SHANE VAN OOSTENDORP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
43 E MILLS ST, COLUMBUS, NC 28722-0018
(828) 894-8291
(828) 894-5124
Mailing address
43 E MILLS ST, COLUMBUS, NC 28722-0018
(828) 894-8291
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11552
NC
Other
Enumeration date
07/11/2019
Last updated
04/29/2025
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