Individual
SHANNON MCCHAREN
Active
Individual
SHANNON MCCHAREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4518-18DH
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4518-18DH
DENTAL HYGIENIST
MS
Enumeration date
06/25/2020
Last updated
06/25/2020
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