Individual
AMY SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
153 MANCHESTER ST, SUITE #5, CONCORD, NH 03301-5142
(603) 224-9474
Mailing address
153 MANCHESTER ST, SUITE #5, CONCORD, NH 03301-5142
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
02356
NH
Other
Enumeration date
03/14/2015
Last updated
03/14/2015
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