Individual
DR. SHANNON DUQUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
220 E MAIN ST, GENEVA, OH 44041-1481
(440) 466-4884
Mailing address
220 E MAIN ST, GENEVA, OH 44041-1481
(440) 466-4884
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.024729
OH
Other
Enumeration date
06/29/2016
Last updated
03/21/2023
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