Doctor Name: | SANDRA SHIH |
NPI Number: | 1295881597 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DDS |
License Number: | 13125 |
Business Practice Address: | 5430 Campbell Blvd Suite 209 White Marsh, MD - 21162 |
Business Phone Number: | 4437254185 |
Business Fax Number: | 4437254187 |
Mailing Address: | 5430 Campbell Blvd, Suite 209 WHITE MARSH |
State: | MD |
Postal Code: | 211625500 |
Phone Number: | 4437254185 |
Fax Number: | 4437254187 |
NPI Enumeration Date: | 01/27/2007 |
NPI Last Update Date: | 10/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 13125 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |