Individual
CHERYL SHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9404 TILLER DR, ELLICOTT CITY, MD 21042-1725
(410) 707-7235
Mailing address
9404 TILLER DR, ELLICOTT CITY, MD 21042-1725
(410) 707-7235
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5011
MD
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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