SHANNON ALLEN

GLEN CARBON, IL
NPI1588344824
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019.035371)
Additional Taxonomies122300000X Dentist
(Licence: OK  7789)
Enumeration Date2023-07-21
Last Update Date2024-07-18
Business Address
SHANNON ALLEN DMD
21 GLEN ED PROFESSIONAL PARK
GLEN CARBON, IL 62034-3333
Phone number: 618-656-0608
Mailing Address
SHANNON ALLEN DMD
4408 PHOENIX CT
SCOTT AIR FORCE BASE, IL 62225-6311
Phone number: 847-345-9556
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