Individual
DR. MICHAEL A. SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
1601 MILL ROCK WAY, BAKERSFIELD, CA 93311-1315
(949) 573-5654
Mailing address
206 CALLE POTRANCA, SAN CLEMENTE, CA 92672-4552
(949) 573-5654
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
54956
CA
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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