Individual
DR. BRIANNE SHANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3601 A ST, PHILADELPHIA, PA 19134-1043
(215) 427-5075
Mailing address
3601 A ST, PHILADELPHIA, PA 19134-1043
(215) 427-5075
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS038396
PA
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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