SHANNONJ LEE FENTON

PHOENIX, AZ
NPI1902014863
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA  31911)
Enumeration Date2007-05-21
Last Update Date2007-07-09
Business Address
-- SHANNONJ LEE FENTON RDA
3155 W INDIAN SCHOOL RD
PHOENIX, AZ 85017-4035
Phone number: 602-212-9533
Mailing Address
-- SHANNONJ LEE FENTON RDA
3530 E MORELAND ST APT 3
PHOENIX, AZ 85008-5247
Phone number: 480-430-1172
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