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Organization
MILLS & SHANNON, DMD, PC
Active
Organization
MILLS & SHANNON, DMD, PC
Active
Other names
Mills & Shannon Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS MARSHALL SHANNON DMD (DENTIST/VICE PRESIDENT)
(540) 989-5700
Entity
Organization
Contact information
Practice address
3533 KEAGY RD, SALEM, VA 24153-7312
(540) 989-5700
(540) 989-0006
Mailing address
3533 KEAGY RD, SALEM, VA 24153-7312
(540) 989-5700
(540) 989-0006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/04/2010
Last updated
01/04/2010
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