Organization
MICHAEL E. SHANNON, D.M.D., P.S.C.
Active
Other names
Shannon Dental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL E SHANNON D.M.D. (PRESIDENT)
(509) 783-0824
Entity
Organization
Contact information
Practice address
800 N CENTER PKWY, KENNEWICK, WA 99336-7118
(509) 783-0824
(509) 783-9136
Mailing address
800 N CENTER PKWY, KENNEWICK, WA 99336-7118
(509) 783-0824
(509) 783-9136
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE00004797
WA
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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