SHANNON DALE GREEN

CULLMAN, AL
NPI1205914595
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AL  4785)
Enumeration Date2006-11-02
Last Update Date2007-07-08
Business Address
Dr. SHANNON DALE GREEN DMD
322 GRAHAM ST SW
CULLMAN, AL 35055-5238
Phone number: 256-734-1656
Mailing Address
Dr. SHANNON DALE GREEN DMD
322 GRAHAM ST SW
CULLMAN, AL 35055-5238
Phone number: 256-734-1656
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