Individual
MRS. JESSICA SHEDLOCK BRUNNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8600 LA SALLE RD, OXFORD BUILDING SUITE 611, TOWSON, MD 21286-2001
(410) 823-5010
(410) 823-5557
Mailing address
8600 LA SALLE RD, OXFORD BUILDING SUITE 611, TOWSON, MD 21286-2001
(410) 823-5010
(410) 823-5557
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14096
MD
Other
Enumeration date
10/31/2008
Last updated
08/09/2012
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