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1407218498
SHANTELL E DENDAUW
MEDFORD, OR
NPI
1407218498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H6914)
Enumeration Date
2016-03-28
Last Update Date
2023-09-22
Business Address
SHANTELL E DENDAUW RDH
906 ROYAL CT
MEDFORD, OR 97504-6139
Phone number: 541-500-0959
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Mailing Address
SHANTELL E DENDAUW RDH
1221 DISK DR
MEDFORD, OR 97501-6638
Phone number: 541-500-0959
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