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1316168693
MICHAEL A. SHANNON
BAKERSFIELD, CA
NPI
1316168693
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: CA 54956)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL A. SHANNON D.D.S., M.S.
1601 MILL ROCK WAY
BAKERSFIELD, CA 93311-1315
Phone number: 949-573-5654
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Mailing Address
Dr. MICHAEL A. SHANNON D.D.S., M.S.
206 CALLE POTRANCA
SAN CLEMENTE, CA 92672-4552
Phone number: 949-573-5654
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