Organization
SIMPLE MIRACLES DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANA A DICKS (GENERAL DENTIST)
(301) 383-0958
Entity
Organization
Contact information
Practice address
16900 SCIENCE DR STE 110, BOWIE, MD 20715-4465
(301) 383-0958
(240) 487-5161
Mailing address
16900 SCIENCE DR STE 110, BOWIE, MD 20715-4465
(301) 383-0958
(240) 487-5161
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
12/11/2023
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