Individual
SORY SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5113 CYRUS CIR, BIRMINGHAM, AL 35242-4631
(205) 995-8855
Mailing address
5113 CYRUS CIR, BIRMINGHAM, AL 35242-4631
(205) 995-8855
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4258
AL
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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