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1770994345
SHANGO SHEMBO ETIENNE
CHARLOTTE, NC
NPI
1770994345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NC 9716)
Enumeration Date
2014-05-16
Last Update Date
2017-12-04
Business Address
Dr. SHANGO SHEMBO ETIENNE D.D.S
10400 MALLARD CREEK RD STE 103
CHARLOTTE, NC 28262-5206
Phone number: 704-503-0202
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Mailing Address
Dr. SHANGO SHEMBO ETIENNE D.D.S
10400 MALLARD CREEK RD STE 103
CHARLOTTE, NC 28262-5206
Phone number: 704-503-0202
Copy
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