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Individual

DR. SHANNA R WARNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S

Contact information

Practice address
3140 FLORIDA BLVD, BATON ROUGE, LA 70806-3757
(225) 650-2000
Mailing address
5151 PLANK RD, BATON ROUGE, LA 70805-3501
(225) 330-6622

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6144
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1861448
LA
Enumeration date
04/29/2011
Last updated
06/04/2019
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