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Individual

DR. IRIS LAMAE SHIELDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
615 W MACPHAIL RD, SUITE # 208, BEL AIR, MD 21014-4309
(410) 638-0858
(410) 638-0057
Mailing address
4248 OVERTON AVE, NOTTINGHAM, MD 21236-4010
(410) 491-9823
(410) 638-0858

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12536
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001404400
MD
Enumeration date
10/12/2005
Last updated
10/03/2022
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