Individual
FRANCIS SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2427 W DARBY RD, HAVERTOWN, PA 19083-1422
(610) 446-4596
Mailing address
1501 CANTERBURY LN, BERWYN, PA 19312-1915
(610) 247-4233
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS041958
PA
Other
Enumeration date
10/06/2018
Last updated
07/24/2019
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