Individual
DR. MICHAEL S. W. SHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4866 COOPER RD, SUITE 201, CINCINNATI, OH 45242-6904
(513) 891-8555
(513) 891-8704
Mailing address
4866 COOPER RD, SUITE 201, CINCINNATI, OH 45242-6904
(513) 891-8555
(513) 891-8704
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12965
OH
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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