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1114111671
THERESA L SHANNON
FALLS CHURCH, VA
NPI
1114111671
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401008644)
Enumeration Date
2007-08-28
Last Update Date
2007-08-28
Business Address
Dr. THERESA L SHANNON DDS
5205 LEESBURG PIKE STE 101 JACK C PHASS JR DDS INC
FALLS CHURCH, VA 22041-3802
Phone number: 703-824-0055
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Mailing Address
Dr. THERESA L SHANNON DDS
5205 LEESBURG PIKE STE 101 JACK C PHASS JR DDS INC
FALLS CHURCH, VA 22041-3802
Phone number: 703-824-0055
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