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1083721906
MARK T SHEHAN
WINSTON SALEM, NC
NPI
1083721906
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: NC 4949)
Enumeration Date
2006-08-24
Last Update Date
2007-07-08
Business Address
Dr. MARK T SHEHAN DDS
1601 SOUTH HAWTHORNE ROAD
WINSTON SALEM, NC 27103-4127
Phone number: 336-765-9550
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Mailing Address
Dr. MARK T SHEHAN DDS
1601 SOUTH HAWTHORNE ROAD
WINSTON SALEM, NC 27103-4127
Phone number: 336-765-9550
Copy
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