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Organization
SHANNON STAPP DDS PA
Active
Organization
SHANNON STAPP DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZ A POULAIN (BUSINESS MANAGER)
(806) 331-7827
Entity
Organization
Contact information
Practice address
3420 THORNTON DRIVE, AMARILLO, TX 79109-3928
(806) 331-7827
(806) 331-0948
Mailing address
3420 THORNTON DRIVE, AMARILLO, TX 79109-3928
(806) 331-7827
(806) 331-0948
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/22/2006
Last updated
06/25/2008
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