Individual
DR. CHRISTOPHER SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
39863 HIGHWAY 27, DAVENPORT, FL 33837-7802
(863) 353-6867
Mailing address
39863 HIGHWAY 27, DAVENPORT, FL 33837-7802
(863) 353-6867
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
20177
FL
Other
Enumeration date
04/30/2013
Last updated
03/01/2016
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