Individual
SHANA ASHLEY DICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
16900 SCIENCE DR STE 110, BOWIE, MD 20715-4465
(301) 383-0958
(240) 487-5161
Mailing address
16900 SCIENCE DR STE 110, BOWIE, MD 20715-4465
(301) 383-0958
(240) 487-5161
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15476
MD
Other
Enumeration date
06/25/2013
Last updated
09/19/2023
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