Individual
ERIN J SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
812 STATE FAIR BLVD, SYRACUSE, NY 13209-1312
(315) 488-3100
(315) 488-3400
Mailing address
812 STATE FAIR BLVD, SYRACUSE, NY 13209-1312
(315) 488-3100
(315) 488-3400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
051664
NY
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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