Individual
SHEILA OTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MPH
Contact information
Practice address
20680 SENECA MEADOWS PKWY STE 207, GERMANTOWN, MD 20876-7029
(301) 515-8500
Mailing address
20680 SENECA MEADOWS PKWY STE 207, GERMANTOWN, MD 20876-7029
(480) 280-0224
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS041615
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2015
Last updated
07/05/2023
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