MARY VIVIANNE SHANNON

LOS ANGELES, CA
NPI1760528525
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: CA  48769)
Enumeration Date2007-01-29
Last Update Date2012-09-26
Business Address
-- MARY VIVIANNE SHANNON DDS
11980 SAN VICENTE BLVD STE 906
LOS ANGELES, CA 90049-6607
Phone number: 310-998-8999
Mailing Address
-- MARY VIVIANNE SHANNON DDS
357 S GLENROY AVE
LOS ANGELES, CA 90049-3136
Phone number: 310-869-1332
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