Individual
DR. BRENDA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4136 E JOPPA RD STE F, BALTIMORE, MD 21236-2286
(410) 256-2930
Mailing address
4136 E JOPPA RD STE F, BALTIMORE, MD 21236-2286
(410) 256-2930
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16944
MD
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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