Organization
JL SHAUGHNESSY DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMMIE SHAUGHNESSY RDH (OWNER/HYGIENIST)
(623) 551-9200
Entity
Organization
Contact information
Practice address
42104 N VENTURE COURT, BLDG E SUITE 103, ANTHEM, AZ 85086
(623) 551-9200
(623) 551-9102
Mailing address
42104 N VENTURE COURT, BLDG E SUITE 103, ANTHEM, AZ 85086
(623) 551-9200
(623) 551-9102
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/30/2006
Last updated
10/04/2007
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