Individual
DR. SHANNON CAROL CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
7430 80TH ST S, SUITE 202, COTTAGE GROVE, MN 55016-3035
(651) 459-6884
(651) 459-5670
Mailing address
1956 JULIET AVE, SAINT PAUL, MN 55105-1722
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11160
MN
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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