Shannon Nakamine

NPI #1134504749 in Haltom City, Texas

Provider Information

NPI Number: 1134504749
Entity Type: Individual
Name: Shannon Nakamine
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Jul 24, 2015
Last Updated: Jul 24, 2015

Practice Location

Address: 3101 DENTON HWY
Address 2: SUITE #100
City: Haltom City
State: Texas
ZIP Code: 76117-3706
Phone: (817) 831-6500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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