Organization
SHANNON CANDID CO. OHIO, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS SHANNON (PRESIDENT)
(702) 738-5334
Entity
Organization
Contact information
Practice address
107 S HIGH ST FL 2, COLUMBUS, OH 43215-9436
(702) 738-5334
Mailing address
107 S HIGH ST FL 2, COLUMBUS, OH 43215-9436
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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