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Individual
MRS. SHANNON J WILLIAMS
Active
Individual
MRS. SHANNON J WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5208
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200056630A
—
OK
Enumeration date
12/06/2006
Last updated
10/12/2016
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