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Karyn Ashley Repass Shea, RDH

Dental Hygienist in Charleston, SC. Individual provider (NPI-1).

NPI number1164024923
StatusActive
Last updated in NPPESNov 16, 2020

Details

NPI
1164024923
Entity type
Individual (NPI-1)
Name
Karyn Ashley Repass Shea
Credential
RDH
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 16, 2020
Certification date
Nov 16, 2020
Last updated
Nov 16, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
124Q00000X Dental Hygienist11724SCYes

Practice location

51 Nassau St
Charleston, SC 29403-5513

Phone 843-722-4112 · Fax 843-722-5726

Mailing address

1004 Stanton Pl
Myrtle Beach, SC 29579-3390

Phone 423-384-1580

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