Provider Demographics
NPI:1295881597
Name:SHIH, SANDRA (DDS)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:SHIH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5430 CAMPBELL BLVD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:WHITE MARSH
Mailing Address - State:MD
Mailing Address - Zip Code:21162-5500
Mailing Address - Country:US
Mailing Address - Phone:443-725-4185
Mailing Address - Fax:443-725-4187
Practice Address - Street 1:5430 CAMPBELL BLVD
Practice Address - Street 2:SUITE 209
Practice Address - City:WHITE MARSH
Practice Address - State:MD
Practice Address - Zip Code:21162
Practice Address - Country:US
Practice Address - Phone:443-725-4185
Practice Address - Fax:443-725-4187
Is Sole Proprietor?:No
Enumeration Date:2007-01-27
Last Update Date:2014-10-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MD131251223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry