Katherine Shackleford, D.D.S

NPI #1336481431 in Lincoln Park, Michigan

Provider Information

NPI Number: 1336481431
Entity Type: Individual
Name: Katherine Shackleford, D.D.S
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S
Enumeration Date: Mar 27, 2013
Last Updated: Jun 8, 2015

Practice Location

Address: 1359 CHAMPAIGN RD
City: Lincoln Park
State: Michigan
ZIP Code: 48146-3303
Phone: (313) 386-9660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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