Individual
TARA SHEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
294 MERRIMAC CT, PRINCE FREDERICK, MD 20678-4133
(410) 535-2332
Mailing address
180 FORT WASHINGTON AVE, NEW YORK, NY 10032-3722
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
16926
MD
Other
Enumeration date
06/04/2019
Last updated
09/19/2024
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