Individual
DR. SHANNON BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2401 W DOLARWAY RD, ELLENSBURG, WA 98926-9309
(509) 925-6553
Mailing address
3830 MANASTASH RD, ELLENSBURG, WA 98926-7830
(509) 899-0491
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61430752
WA
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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