Individual
MRS. SHAWNDA J EGGLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
401 5TH STREET, OVERTON, NE 68863-0264
(308) 987-2437
Mailing address
1128 S. D STREET, BROKEN BOW, NE 68822
(308) 872-2553
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1504
NE
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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