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Organization

WHITE MARSH PEDIATRIC DENTISTRY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SANDRA SHIH DDS (DENTIST/MANAGER)
(443) 725-4185
Entity
Organization

Contact information

Practice address
5430 CAMPBELL BLVD STE 209, WHITE MARSH, MD 21162-5504
(443) 725-4185
(443) 725-4187
Mailing address
5430 CAMPBELL BOULEVARD, SUITE 209, WHITE MARSH, MD 21162
(443) 725-4185
(443) 725-4187

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
13125
MD

Other

Enumeration date
07/24/2009
Last updated
03/21/2024
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