| NPI | 1073843777 |
|---|---|
| Doing Business As | MILLS & SHANNON DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TRAVIS MARSHALL SHANNON Dentist/Vice President 540-989-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2010-01-04 |