Individual
DR. SHAKILA BANU USMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
108 OLDE TOWNE AVE, SUITE 8, GAITHERSBURG, MD 20877-2095
(301) 519-8887
(301) 519-2706
Mailing address
17125 FLATWOOD DR, ROCKVILLE, MD 20855-2539
(301) 963-8284
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13107
MD
Other
Enumeration date
10/11/2005
Last updated
07/08/2007
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