Individual
DR. PATRICK SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1692 MASSACHUSETTS AVE, CAMBRIDGE, MA 02138-1878
(617) 864-5444
Mailing address
1692 MASSACHUSETTS AVE, CAMBRIDGE, MA 02138-1878
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN1855517
MA
Other
Enumeration date
07/26/2010
Last updated
09/14/2016
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