Shannon Davis RDH

NPI 1477703932 - Dental Hygienist - 124Q00000X

NPI Details
NPI 1477703932
Gender Female
Enumeration Date 09/22/2008
Last Updated 09/22/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
167 NORTH MAIN STREET
TUBA CITY AZ, 86045-0600, US
Phone (928) 283-2501
Fax
Business Location
PO BOX 600
TUBA CITY AZ, 86045-0600, US
Phone (928) 283-2500
Fax
Toxanomy
Taxonomy Code 124Q00000X
License State Arizona
License Number 6071
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According to our database, Shannon Davis RDH NPI is 1477703932, taxonomy code is 124Q00000X and license number is 6071, license state is located at Arizona. Shannon Davis RDH physically located at 167 North Main Street, Tuba City AZ, 86045-0600. NPI Number Shannon Davis RDH has the Individual type.

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1477703932 NPI number is provided on an as is basis without warranty of any kind. 1477703932 is maintained by the National Plan & Provider Enumeration System. The contents of Shannon Davis RDH are for informational purposes only.