Individual
DR. DANIEL C SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1650 BEAM AVE, MAPLEWOOD, MN 55109-1192
(651) 777-7372
(651) 777-5293
Mailing address
1650 BEAM AVE, MAPLEWOOD, MN 55109-1192
(651) 777-7372
(651) 777-5293
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7384
MN
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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