Individual
DR. SHANNON SCOTT OBERNUEFEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
777 W BETHANY HOME RD, PHOENIX, AZ 85013-1651
(602) 242-1729
Mailing address
777 W BETHANY HOME RD, PHOENIX, AZ 85013-1651
(602) 242-1729
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5408
AZ
Other
Enumeration date
08/02/2006
Last updated
09/06/2012
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