SHANNON NISSEN

MISSION VIEJO, CA
NPI1134423965
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA  56349)
Enumeration Date2011-01-10
Last Update Date2011-01-10
Business Address
Dr. SHANNON NISSEN DDS, MS
26302 LA PAZ RD STE 202
MISSION VIEJO, CA 92691-5328
Phone number: 848-830-4101
Mailing 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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