Individual
SHANNON LECLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4 COMMERCE LN, CANTON, NY 13617-3739
(315) 379-8300
Mailing address
4 COMMERCE LANE, CANTON, NY 13617
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
026212
NY
Other
Enumeration date
05/26/2017
Last updated
05/26/2017
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