| Shannon J Daughtry Dds Inc | |
|
250 Main St Brawley CA 92227-2351 | |
| (760) 344-3262 | |
| (760) 344-1369 |
| Full Name | Shannon J Daughtry Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 250 Main St, Brawley, California |
| Authorized Official Name and Position | Lea Daughtry (BUSINESS MANAGER) |
| Authorized Official Contact | 7603443262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon J Daughtry Dds Inc 250 Main St Brawley CA 92227-2351 Ph: (760) 344-3262 | Shannon J Daughtry Dds Inc 250 Main St Brawley CA 92227-2351 Ph: (760) 344-3262 |
| NPI Number | 1740478064 |
|---|---|
| Provider Enumeration Date | 10/11/2007 |
| Last Update Date | 11/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740478064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 42141 (California) | Primary |
Hyun J Kim Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 580 G St, Brawley, CA 92227 Phone: 760-344-1613 | |
Ryan H. Kim Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 580 G St, Brawley, CA 92227 Phone: 760-344-1613 | |
Leon Parrilla D.d.s Incorporated Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 J St, Brawley, CA 92227 Phone: 760-344-2341 |