Individual
MRS. SHANNON M ENGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3522 W LISBON AVE, MILWAUKEE, WI 53208-1953
(414) 935-8000
(414) 344-3350
Mailing address
3522 W LISBON AVE, MILWAUKEE, WI 53208-1953
(414) 935-8000
(414) 344-3350
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10985
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10985
STATE LICENSE
WI
Enumeration date
12/16/2018
Last updated
04/21/2020
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