Shaun Lavallee

NPI #1417384280 in Plains Twp, Pennsylvania

Provider Information

NPI Number: 1417384280
Entity Type: Individual
Name: Shaun Lavallee
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Oct 10, 2013
Last Updated: Jul 12, 2024

Practice Location

Address: 1111 E END BLVD
City: Plains Twp
State: Pennsylvania
ZIP Code: 18702-7923
Phone: (570) 824-3521

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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