Individual
DR. SHANON TAYLOR KIRCHHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1762 INDEPENDENCE ST, CAPE GIRARDEAU, MO 63703-5904
(573) 651-4400
(573) 651-8999
Mailing address
1762 INDEPENDENCE ST, CAPE GIRARDEAU, MO 63703-5904
(573) 651-4400
(573) 651-8999
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
SP749
MO
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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