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1720423148
CHRISTOPHER SHANNON
DAVENPORT, FL
NPI
1720423148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: FL 20177)
Enumeration Date
2013-04-30
Last Update Date
2016-03-01
Business Address
Dr. CHRISTOPHER SHANNON
39863 HIGHWAY 27
DAVENPORT, FL 33837-7802
Phone number: 863-353-6867
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Mailing Address
Dr. CHRISTOPHER SHANNON
39863 HIGHWAY 27
DAVENPORT, FL 33837-7802
Phone number: 863-353-6867
Copy
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