Individual
DR. SHANNON M MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12650 WARWICK BLVD, NEWPORT NEWS, VA 23606-2590
(757) 930-9100
Mailing address
12650 WARWICK BLVD, NEWPORT NEWS, VA 23606-2590
(757) 930-9100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
VA7853
VA
Other
Enumeration date
08/18/2006
Last updated
08/08/2007
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