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1811550999
SHANNON GREEN
TULSA, OK
NPI
1811550999
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: OK 247)
Enumeration Date
2019-04-15
Last Update Date
2024-07-16
Business Address
Dr. SHANNON GREEN DDS
4955 S PEORIA AVE
TULSA, OK 74105-4629
Phone number: 918-895-6568
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Mailing Address
Dr. SHANNON GREEN DDS
112 SQUIRE HALL
BUFFALO, NY 14214-8006
Phone number: 716-829-6230
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