Organization
AGNIESZKA E SHANAHAN, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AGNIESZKA E SHANAHAN DMD (OWNER)
(774) 239-7205
Entity
Organization
Contact information
Practice address
239 MAIN ST, SPENCER, MA 01562-1740
(508) 885-6956
(508) 885-2025
Mailing address
239 MAIN ST, SPENCER, MA 01562-1740
(508) 885-6956
(508) 885-2025
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN1855392
MA
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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