Organization
SHANNON M MARTIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON M MARTIN DDS (DENTIST)
(757) 930-9100
Entity
Organization
Contact information
Practice address
12650 WARWICK BLVD, NEWPORT NEWS, VA 23606
(757) 930-9100
(757) 930-8900
Mailing address
12650 WARWICK BLVD, NEWPORT NEWS, VA 23606
(757) 930-9100
(757) 930-8900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
VA7853
VA
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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