Individual
DR. KIM SHOPP HASKELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
14414 OLD MILL RD, #101, UPPER MARLBORO, MD 20772-3069
(301) 627-6646
(301) 627-4996
Mailing address
14414 OLD MILL RD, #101, UPPER MARLBORO, MD 20772-3069
(301) 627-6646
(301) 627-4996
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
07923
MD
Other
Enumeration date
11/14/2007
Last updated
01/18/2016
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