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1134423965
SHANNON NISSEN
MISSION VIEJO, CA
NPI
1134423965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA 56349)
Enumeration Date
2011-01-10
Last Update Date
2011-01-10
Business Address
Dr. SHANNON NISSEN DDS, MS
26302 LA PAZ RD STE 202
MISSION VIEJO, CA 92691-5328
Phone number: 848-830-4101
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Mailing Address
Dr. SHANNON NISSEN DDS, MS
26302 LA PAZ RD STE 202
MISSION VIEJO, CA 92691-5328
Phone number: 848-830-4101
Copy
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