Dr. Shelly Kitain, D.M.D.
Dentist in Columbus, OH. Individual provider (NPI-1).
NPI number1477832152
StatusActive
Last updated in NPPESJul 31, 2014
Details
- NPI
- 1477832152
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shelly Kitain
- Credential
- D.M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 11, 2011
- Last updated
- Jul 31, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 2901021099 | MI | Yes |
| 1223G0001X | Dentist, General Practice | 60745 | CA |
Practice location
420 N James RdColumbus, OH 43219-1834
Phone 614-257-5430
Mailing address
420 N James RdColumbus, OH 43219-1834
Phone 614-257-5430
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