Individual
DR. OWEN CRAIG SHANTEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2001 E BROADWAY, LOGANSPORT, IN 46947-2048
(574) 722-2233
(574) 753-4860
Mailing address
2001 E BROADWAY, LOGANSPORT, IN 46947-2048
(574) 722-2233
(574) 753-4860
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12008143A
IN
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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