Individual provider · Type 1 NPI

Shannon Patrice Llera, DDS

Student in an Organized Health Care Education/Training Program · Baltimore, MD

NPI number 1912260951 Active

Practice location

10 N Greene St, Dental 160
Baltimore, MD 21201-1524

Call (410) 605-7058 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1912260951

Shannon Patrice Llera, DDS's National Provider Identifier is 1912260951, issued on Jun 22, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Baltimore, MD. The record was last updated on Jun 22, 2012.