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Organization
MICHAEL E. SHANNON, D.M.D., P.S.C.
Active
Organization
MICHAEL E. SHANNON, D.M.D., P.S.C.
Active
Other names
Shannon Dental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL E SHANNON D.M.D. (PRESIDENT)
(509) 783-0824
Entity
Organization
Contact information
Practice address
800 N CENTER PKWY, KENNEWICK, WA 99336-7118
(509) 783-0824
(509) 783-9136
Mailing address
800 N CENTER PKWY, KENNEWICK, WA 99336-7118
(509) 783-0824
(509) 783-9136
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE00004797
WA
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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