Michael A. Shannon, D.d.s., M.s., INC
NPI #1437370707 in San Clemente, California
Provider Information
- NPI Number
- 1437370707
- Entity Type
- Organization
- Organization Name
- Michael A. Shannon, D.d.s., M.s., INC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- May 2, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 206 CALLE POTRANCA
- City
- San Clemente
- State
- California
- ZIP Code
- 92672-4552
- Phone
- (949) 573-5654
Authorized Official
- Name
- DR. MICHAEL A. SHANNON, D.D.S., M.S.
- Title
- PRESIDENT
- Phone
- (949) 573-5654
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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