Individual
MS. SHANIECE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2070 WALDEN COURT, BRYANS ROAD, MD 20616
(301) 535-5457
Mailing address
PO BOX 1141, BRYANS ROAD, MD 20616
(301) 535-5457
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7414
MD
Other
Enumeration date
10/07/2016
Last updated
04/03/2017
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