Individual
SHANDON DEMETRIUS BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15834 SHAWNEE MISSION PKWY, SHAWNEE, KS 66217-9326
(913) 631-0866
Mailing address
8961 METCALF AVE APT 543, OVERLAND PARK, KS 66212-1587
(314) 277-4146
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
62147
KS
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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