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Individual

KRISTINA S SHUTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
204 W HILL BLVD, JOINT BASE CHARLESTON, SC 29404-4704
(843) 963-6880
Mailing address
204 W HILL BLVD, JOINT BASE CHARLESTON, SC 29404-4704
(843) 963-6880

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9138
SC

Other

Enumeration date
06/21/2018
Last updated
08/21/2023
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