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Individual
SHANNON MICHAELA DUGAN
Active
Individual
SHANNON MICHAELA DUGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1859078
MA
1223E0200X
Endodontics
Primary
DS044203
PA
390200000X
Student in an Organized Health Care Education/Training Program
DN1859078
MA
Other
Enumeration date
06/04/2021
Last updated
02/24/2026
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