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Individual

MS. SHANA D DEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
3977 SEVENTH STREET RD, LOUISVILLE, KY 40216
(502) 449-1961
(502) 449-9866
Mailing address
3977 SEVENTH STREET RD, LOUISVILLE, KY 40216
(502) 449-1961
(502) 449-9866

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
0023683
TX
122300000X
Dentist
23683
TX
122300000X
Dentist
Primary
7736
KY

Other

Enumeration date
07/25/2006
Last updated
08/01/2008
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