Individual
HOWARD SHOCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
412 MALCOLM DR, WESTMINSTER, MD 21157-6115
(410) 848-3838
Mailing address
412 MALCOLM DR, WESTMINSTER, MD 21157-6115
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6967
MD
Other
Enumeration date
02/04/2007
Last updated
07/08/2007
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