Individual
SHANIKA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
954 FORREST ST, BALTIMORE, MD 21202-4236
(410) 837-2135
Mailing address
9815 BON HAVEN LN, OWINGS MILLS, MD 21117-7408
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
A6388
MD
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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