DR. Shannon Danielle Wall, DMD
NPI #1366013930 in Hazelwood, Missouri
Provider Information
- NPI Number
- 1366013930
- Entity Type
- Individual
- Name
- DR. Shannon Danielle Wall, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Jul 6, 2021
- Last Updated
- Jul 6, 2021
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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