Individual
MS. MANA SHOEYBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6955 OAKLAND MILLS RD STE 0, COLUMBIA, MD 21045-5849
(410) 480-9800
Mailing address
5661 PHELPS LUCK DR, COLUMBIA, MD 21045-2526
(240) 848-0112
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16943
MD
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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