Individual
SHILAH ALIBAKHSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
19512 AMARANTH DR, GERMANTOWN, MD 20874-1212
(301) 540-0500
Mailing address
18515 BLACK KETTLE DR, BOYDS, MD 20841-4310
(130) 133-5210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18101
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2023
Last updated
07/07/2023
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