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Individual

SHANNON KATHARINE BARNHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
4700 LAS VEGAS BLVD N, 99TH DENTAL SQUADRON- MOFMC, NELLIS AFB, NV 89191-6600
(702) 653-2761
Mailing address
11437 VALENTINO LN, LAS VEGAS, NV 89138-7572
(702) 478-5504

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
21091
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
61785
CA

Other

Enumeration date
06/11/2007
Last updated
03/17/2013
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