Individual
DR. COLLEEN C. SHULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2501 OAKINGTON ST, APG DENTAL CLINIC, APG, MD 21005
(410) 278-1795
(410) 278-1792
Mailing address
35 SPESUTIE ISLAND RD, ABERDEEN PROVING GROUND, MD 21005-1413
(703) 622-4608
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DS026397L
PA
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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