Individual
SHAWNDRA BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, BS
Contact information
Practice address
8476 SIMONDS STREET, FORT MEADE, MD 20755
(301) 677-6122
(301) 677-5710
Mailing address
8476 SIMONDS STREET, FORT MEADE, MD 20755
(301) 677-6122
(301) 677-5710
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7022
MD
Other
Enumeration date
06/13/2016
Last updated
06/13/2022
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