Individual
DAVID SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5660 MONROE ST, SYLVANIA, OH 43560-2733
(419) 472-2621
Mailing address
5660 MONROE ST, SYLVANIA, OH 43560-2733
(419) 472-2621
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.027107
OH
Other
Enumeration date
04/10/2022
Last updated
07/31/2023
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