Individual
SHARON MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1350 DORSEY RD, STE A, HANOVER, MD 21076-1433
(586) 909-1415
Mailing address
1350 DORSEY RD, STE A, HANOVER, MD 21076-1433
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15299
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2010
Last updated
10/17/2014
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