Individual
MARLENE JANE SHEVENELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1610 MCGUCKIAN ST, ANNAPOLIS, MD 21401-4020
(410) 268-5046
Mailing address
1610 MCGUCKIAN ST, ANNAPOLIS, MD 21401-4020
(410) 268-5046
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9456
MD
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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