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Individual

DR. SHELRETHIA O'SHAY BATTLE-SIATITA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S

Contact information

Practice address
1065 BOSTON ROAD, ANDREWS AIR FORCE BASE, MD 20762
(240) 612-2657
Mailing address
1065 BOSTON ROAD, ANDREWS AIR FORCE BASE, MD 20762
(240) 612-2657

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23184
TX
1223P0300X
Periodontics
0401412526
VA
1223P0300X
Periodontics
18400
MD

Other

Enumeration date
05/15/2007
Last updated
10/29/2024
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