Individual
KAMECA A SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
14201 CHESTNUT W, RANDOLPH, MA 02368-6361
(718) 527-5872
Mailing address
14201 CHESTNUT W, RANDOLPH, MA 02368-6361
(718) 527-5872
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN26378
FL
Other
Enumeration date
08/02/2021
Last updated
09/10/2021
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