Individual
DR. SHANIN RAE REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
105 STATE PARK RD, GREENVILLE, SC 29609-2914
(864) 271-1156
Mailing address
455 BUNCOMBE ST APT 215, GREENVILLE, SC 29601-1938
(630) 207-4781
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10528
SC
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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