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Individual

SHAY P MCGOWAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2414 W FAIDLEY AVE STE 101, GRAND ISLAND, NE 68803-4326
(308) 382-7813
(308) 385-0370
Mailing address
2414 W FAIDLEY AVE STE 101, GRAND ISLAND, NE 68803-4326
(308) 382-7813
(308) 385-0370

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5982
NE

Other

Enumeration date
04/11/2007
Last updated
07/08/2007
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