Individual
DR. MORGAN MARIE SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
809 W CAMP ST, EAST PEORIA, IL 61611-7218
(309) 694-0606
Mailing address
5803 W CHADWORTH CT, PEORIA, IL 61615-6613
(309) 219-5803
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.033223
IL
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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