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1760528525
MARY VIVIANNE SHANNON
LOS ANGELES, CA
NPI
1760528525
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: CA 48769)
Enumeration Date
2007-01-29
Last Update Date
2012-09-26
Business Address
-- MARY VIVIANNE SHANNON DDS
11980 SAN VICENTE BLVD STE 906
LOS ANGELES, CA 90049-6607
Phone number: 310-998-8999
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Mailing Address
-- MARY VIVIANNE SHANNON DDS
357 S GLENROY AVE
LOS ANGELES, CA 90049-3136
Phone number: 310-869-1332
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