Individual
DR. SHANAIL LYNNETTE MOORMAN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3225 BUCKINGHAM DR, TOANO, VA 23168-9455
(313) 622-6345
Mailing address
3225 BUCKINGHAM DR, TOANO, VA 23168-9455
(313) 622-6345
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411659
VA
Other
Enumeration date
12/06/2006
Last updated
12/11/2014
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