Individual
DR. SHELTON RAYMOND PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
#5 BARNEY CIRCLE SE, WASHINGTON, DC 20003
(202) 547-6119
(202) 547-0904
Mailing address
#5 BARNEY CIRCLE SE, WASHINGTON, DC 20003
(202) 547-6119
(202) 547-0904
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3483
DC
Other
Enumeration date
04/12/2007
Last updated
06/16/2010
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