Individual
DR. SHANNA LEIGH GAGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
14 MERRILL ST, FARMINGDALE, ME 04344-1622
(207) 626-3091
(207) 622-5499
Mailing address
85 STONEHAM DR., W. GARDINER, ME 04345-7515
(207) 582-8358
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3738
ME
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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