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1134336480
SORY SHANNON
BIRMINGHAM, AL
NPI
1134336480
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: AL 4258)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
-- SORY SHANNON
5113 CYRUS CIR
BIRMINGHAM, AL 35242-4631
Phone number: 205-995-8855
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Mailing Address
-- SORY SHANNON
5113 CYRUS CIR
BIRMINGHAM, AL 35242-4631
Phone number: 205-995-8855
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