SHANNON J DAUGHTRY DDS INC NPI 1740478064

NPI Information

SHANNON J DAUGHTRY DDS INC is a general practice dentist in Brawley, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SHANNON J DAUGHTRY DDS INC NPI is 1740478064. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

250 MAIN ST
BRAWLEY, CA
ZIP 92227-351
Phone: (760) 344-3262
Fax: (760) 344-1369

The provider's authorized official is Lea Daughtry .
The authorized official title is Business Manager and has the following contact phone number (760) 344-3262.

The enumeration date for this NPI number is 10/11/2007 and was last updated on 11/13/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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