KYLE SHANNON

TULSA, OK
NPI1780801183
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: OK  5410)
Enumeration Date2007-04-19
Last Update Date2007-07-08
Business Address
-- KYLE SHANNON D.D.S
3150 E 41ST ST SUITE 112
TULSA, OK 74105-3717
Phone number: 918-743-2321
Mailing Address
-- KYLE SHANNON D.D.S
3150 E 41ST ST SUITE 112
TULSA, OK 74105-3717
Phone number: 918-743-2321