SHANE GANTOS

BIRMINGHAM, AL
NPI1679466460
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-05-30
Last Update Date2025-05-30
Business Address
Dr. SHANE GANTOS DDS
700 19TH ST S
BIRMINGHAM, AL 35233-1927
Phone number: 205-933-8101
Mailing Address
Dr. SHANE GANTOS DDS
13201 LAKE SHORE DR
FENTON, MI 48430-1019
Phone number: 810-869-2667
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