Organization
SHANNON I. MAGNUSON, DDS, MSD, PS
Active
Other names
Magnuson Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON MAGNUSON DDS, MSD (PRESIDENT)
(509) 443-5597
Entity
Organization
Contact information
Practice address
10121 N NEVADA ST, SUITE 201, SPOKANE, WA 99218-3120
(509) 443-5597
(509) 863-9701
Mailing address
10121 N NEVADA ST, SUITE 201, SPOKANE, WA 99218-3120
(509) 443-5597
(509) 863-9701
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7628
WA
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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