Dale D. Shahan DDS Ltd

NPI #1114234499 in Quincy, Illinois

Provider Information

NPI Number: 1114234499
Entity Type: Organization
Organization Name: Dale D. Shahan DDS Ltd
Primary Specialty: Dentist
Enumeration Date: Sep 8, 2010
Last Updated: Sep 8, 2010

Practice Location

Address: 636 HAMPSHIRE SUITE 102
City: Quincy
State: Illinois
ZIP Code: 62301
Phone: (217) 228-0101

Authorized Official

Name: DR. DALE D. SHAHAN, DDS
Title: OWNER
Phone: (217) 228-0101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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