1851447304

Everything you always wanted to know about DR. KERBY MICHAEL SHAWN D.D.S. but were afraid to ask.

DR. KERBY MICHAEL SHAWN D.D.S.

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Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Credential
DR. KERBY MICHAEL SHAWN D.D.S.
Gender:
Male
Enumeration date:
2007-01-26
Last update date:
2007-07-08
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
1223G0001X General Practice IA 08277 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 5154022377
Practice Location Address Telephone Number 5152241330

Addresses

Type Address City State Postal Country
Mailing Address 655 SE PARKER DR SUITE 800 WAUKEE IA 50263 IA
Practice Location Address 1200 VALLEY WEST DR WEST DES MOINES IA 50266 IA

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