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1134243470
GEORGE SHANNON MAYWEATHER
ELK GROVE, CA
NPI
1134243470
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: CA 40467)
Enumeration Date
2007-03-19
Last Update Date
2014-03-26
Business Address
GEORGE SHANNON MAYWEATHER D.D.S.
8013 LAGUNA BLVD STE 1
ELK GROVE, CA 95758-7920
Phone number: 916-683-3015
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Mailing Address
GEORGE SHANNON MAYWEATHER D.D.S.
8013 LAGUNA BLVD # 1
ELK GROVE, CA 95758-7920
Phone number: 916-683-3015
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