Individual
DR. BRIAN PAUL SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
130 C GRANITE STREET, WESTERLY, RI 02891
(401) 596-8720
(401) 596-5403
Mailing address
130 C GRANITE STREET, WESTERLY, RI 02891
(401) 596-8720
(401) 596-5403
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2263
RI
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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