Organization
SHANEAN MICHELLE ANDERSON DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANEAN MICHELLE ANDERSON DDS (PRESIDENT/OWNER)
(919) 825-1795
Entity
Organization
Contact information
Practice address
900 S FRANKLIN ST, SUITE 101, WAKE FOREST, NC 27587-2799
(919) 825-1795
(919) 229-8483
Mailing address
900 S FRANKLIN ST, SUITE 101, WAKE FOREST, NC 27587-2799
(919) 825-1795
(919) 229-8483
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8755
NC
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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