Individual
SHANNON DE VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
19077 CHAMPION FOREST DR, SPRING, TX 77379-8516
(832) 761-7428
Mailing address
119 W SLATESTONE CIR, SPRING, TX 77382-5018
(832) 477-7083
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30480
TX
Other
Enumeration date
07/26/2016
Last updated
03/29/2022
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