Individual
DR. SHANNON MICHAEL SENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1500 AVENUE F, ELY, NV 89301-3506
(775) 289-3375
Mailing address
PO BOX 150575, ELY, NV 89315-0575
(775) 354-6627
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5934
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025205100
—
NE
Enumeration date
06/22/2009
Last updated
02/14/2013
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