KELVIN L. SHANE

HUDSON, WI
NPI1154733095
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WI  1001487-15)
Additional Taxonomies122300000X Dentist
(Licence: MN  D13373)
Enumeration Date2014-05-27
Last Update Date2019-04-17
Business Address
Dr. KELVIN L. SHANE D.D.S.
108 WALNUT STREET SUITE A
HUDSON, WI 54016
Phone number: 715-386-2133
Mailing Address
Dr. KELVIN L. SHANE D.D.S.
108 WALNUT STREET SUITE A
HUDSON, WI 54016
Phone number: 715-386-2133
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