Individual
MANDANA SHAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
621 RIDGELY AVE STE 206, ANNAPOLIS, MD 21401-1083
(410) 224-2660
Mailing address
301 RANDOLPH ST, DENTON, MD 21629-1243
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16611
MD
122300000X
Dentist
DS040764
PA
Other
Enumeration date
05/26/2016
Last updated
12/27/2022
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