Individual
DR. SHANNON LYNDEN VAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1647 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 23511-2803
(151) 953-8509
Mailing address
1647 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 23511-2803
(151) 953-8509
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16418
MD
Other
Enumeration date
07/10/2018
Last updated
07/18/2019
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