Individual
SHANNON KAY RILEY-WINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, MS
Contact information
Practice address
39929 LADY BALTIMORE AVE, LEONARDTOWN, MD 20650-2523
(240) 925-7684
Mailing address
39929 LADY BALTIMORE AVE, LEONARDTOWN, MD 20650-2523
(240) 925-7684
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5340
MD
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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