Individual
KEDY SHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
12500 SE 2ND CIR STE 135, VANCOUVER, WA 98684-6031
(360) 695-0994
Mailing address
12500 SE 2ND CIR STE 135, VANCOUVER, WA 98684-6031
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D10526
OR
1223G0001X
General Practice Dentistry
D10526
OR
Other
Enumeration date
08/06/2016
Last updated
08/13/2024
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