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1245783323
SHANNON DE VERA
SPRING, TX
NPI
1245783323
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: TX 30480)
Enumeration Date
2016-07-26
Last Update Date
2022-03-29
Business Address
SHANNON DE VERA DDS
19077 CHAMPION FOREST DR
SPRING, TX 77379-8516
Phone number: 832-761-7428
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Mailing Address
SHANNON DE VERA DDS
119 W SLATESTONE CIR
SPRING, TX 77382-5018
Phone number: 832-477-7083
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