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1437370707
MICHAEL A. SHANNON, D.D.S., M.S., INC
SAN CLEMENTE, CA
NPI
1437370707
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Entity Type
Organization
Authorized Contact
MICHAEL A. SHANNON
President
949-573-5654
Organization Subpart ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
Enumeration Date
2007-05-02
Last Update Date
2020-08-22
Business Address
MICHAEL A. SHANNON, D.D.S., M.S., INC
206 CALLE POTRANCA
SAN CLEMENTE, CA 92672-4552
Phone number: 949-573-5654
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Mailing Address
MICHAEL A. SHANNON, D.D.S., M.S., INC
206 CALLE POTRANCA
SAN CLEMENTE, CA 92672-4552
Phone number: 949-573-5654
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