Shannonj Lee Fenton, RDA
Shannonj Lee Fenton, RDA is an Orthodontics and Dentofacial Orthopedics Dentistry in Phoenix, Arizona. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
3155 W Indian School RdPhoenix, AZ 85017-4035
Phone: (602) 212-9533
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Specialties & licences
| Orthodontics and Dentofacial Orthopedics Dentistry (primary) | Taxonomy 1223X0400X · Licence 31911 (CA) |
|---|
Record details
| NPI number | 1902014863 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RDA |
| Sole proprietor | No |
| NPI enumerated | May 21, 2007 |
| Last updated in NPPES | July 9, 2007 |
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