Shannon J Daughtry DDS INC
NPI #1740478064 in Brawley, California
Provider Information
- NPI Number
- 1740478064
- Entity Type
- Organization
- Organization Name
- Shannon J Daughtry DDS INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 11, 2007
- Last Updated
- Nov 13, 2009
Practice Location
- Address
- 250 MAIN ST
- City
- Brawley
- State
- California
- ZIP Code
- 92227-2351
- Phone
- (760) 344-3262
Authorized Official
- Name
- MRS. LEA DAUGHTRY
- Title
- BUSINESS MANAGER
- Phone
- (760) 344-3262
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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