DR. Owen Craig Shanteau, DDS

NPI #1902929524 in Logansport, Indiana

Provider Information

NPI Number: 1902929524
Entity Type: Individual
Name: DR. Owen Craig Shanteau, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Apr 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2001 E BROADWAY
City: Logansport
State: Indiana
ZIP Code: 46947-2048
Phone: (574) 722-2233

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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