Mallory Shanahan
NPI #1770003170 in Germantown, Tennessee
Provider Information
- NPI Number
- 1770003170
- Entity Type
- Individual
- Name
- Mallory Shanahan
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Enumeration Date
- Jun 27, 2017
- Last Updated
- Jun 27, 2017
Practice Location
- Address
- 1918 EXETER RD STE 1
- City
- Germantown
- State
- Tennessee
- ZIP Code
- 38138-2970
- Phone
- (217) 540-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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