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Individual

SHEMIKA L SAMPLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
344 UNIVERSITY BLVD W, SILVER SPRING, MD 20901-1948
(202) 483-8196
Mailing address
6339 ALLENTOWN RD STE E, CAMP SPRINGS, MD 20748-2600
(301) 449-2800
(301) 449-2802

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
0401414041
VA
122300000X
Dentist
Primary
17477
MD

Other

Enumeration date
03/21/2011
Last updated
03/28/2023
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