Individual
DR. CALLIEF SHEREEN SHAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1338 SOUTH BLVD, DENTAL, CHIPLEY, FL 32428-1846
(850) 638-6240
Mailing address
774 HOYT ST, APT 9, CHIPLEY, FL 32428-1606
(850) 445-0152
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17889
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076745000
—
FL
Enumeration date
04/24/2007
Last updated
07/01/2009
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