| NPI | 1952856130 |
|---|---|
| Doing Business As | SHANNON DENTAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL E SHANNON President 509-783-0824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: WA DE00004797) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |