Individual
DR. COLIN MICHAEL SHAWHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
120 W OSAGE ST, SEDAN, KS 67361-1518
(620) 725-3122
Mailing address
120 W OSAGE ST, SEDAN, KS 67361-1518
(620) 725-3122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61288
KS
1223G0001X
General Practice Dentistry
6657
OK
Other
Enumeration date
11/13/2014
Last updated
10/23/2019
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