Organization
PROFESSIONAL DENTAL ASSOCIATES LLC
Active
Other names
Professional Dental Associates LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRIS SHIELDS DDS (OWNER/DENTIST)
(410) 638-0858
Entity
Organization
Contact information
Practice address
615 W MACPHAIL RD STE 208, BEL AIR, MD 21014-4469
(410) 638-0858
(410) 638-0057
Mailing address
615 W MACPHAIL RD STE 208, BEL AIR, MD 21014-4469
(410) 638-0858
(410) 638-0858
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
10/03/2022
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