SORY SHANNON

BIRMINGHAM, AL
NPI1134336480
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: AL  4258)
Enumeration Date2007-05-17
Last Update Date2007-07-08
Business Address
-- SORY SHANNON
5113 CYRUS CIR
BIRMINGHAM, AL 35242-4631
Phone number: 205-995-8855
Mailing Address
-- SORY SHANNON
5113 CYRUS CIR
BIRMINGHAM, AL 35242-4631
Phone number: 205-995-8855