MS. Shannon Marie Larson, R.D.H.

NPI #1558751180 in Shelby, Michigan

Provider Information

NPI Number: 1558751180
Entity Type: Individual
Name: MS. Shannon Marie Larson, R.D.H.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: R.D.H.
Enumeration Date: Feb 3, 2015
Last Updated: Feb 3, 2015

Practice Location

Address: 119 S STATE ST
City: Shelby
State: Michigan
ZIP Code: 49455-1243
Phone: (231) 861-2130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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