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Individual

JENNIFER SHANNON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
4400 DEER PATH RD STE 101, HARRISBURG, PA 17110-3908
(717) 364-5986
Mailing address
4400 DEER PATH RD STE 101, HARRISBURG, PA 17110-3908
(717) 364-5986

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DS038393
PA
1223G0001X
General Practice Dentistry
Primary
DS038393
PA

Other

Enumeration date
08/05/2010
Last updated
02/14/2019
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