Richard J Shanahan DDS PC

NPI 1023008893 - Dentist - 1223X0400X

NPI Details
NPI 1023008893
Gender Male
Enumeration Date 10/24/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
109 WATERTOWN AVE
WATERBURY CT, 06708-2623, US
Phone (203) 754-7100
Fax (203) 754-7822
Business Location
109 WATERTOWN AVE
WATERBURY CT, 06708-2623, US
Phone (203) 754-7100
Fax (203) 754-7822
Toxanomy
Taxonomy Code 1223X0400X
License State Connecticut
License Number 03101
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According to our database, Dr. Richard J Shanahan DDS PC NPI is 1023008893, taxonomy code is 1223X0400X and license number is 03101, license state is located at Connecticut. Richard J Shanahan DDS PC physically located at 109 Watertown Ave, Waterbury CT, 06708-2623. NPI Number Richard J Shanahan DDS PC has the Individual type.

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1023008893 NPI number is provided on an as is basis without warranty of any kind. 1023008893 is maintained by the National Plan & Provider Enumeration System. The contents of Richard J Shanahan DDS PC are for informational purposes only.