Individual
DR. SHANNON LORRAINE REA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
727 PENNSYLVANIA AVE, OTTUMWA, IA 52501-2153
(641) 682-8143
Mailing address
727 PENNSYLVANIA AVE, OTTUMWA, IA 52501-2153
(641) 682-8143
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
08954
IA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
08954
IA
Other
Enumeration date
05/02/2013
Last updated
02/21/2024
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