DR. Kenneth Demetric Shumate, D.D.S

NPI #1417236613 in Waldorf, Maryland

Provider Information

NPI Number
1417236613
Entity Type
Individual
Name
DR. Kenneth Demetric Shumate, D.D.S
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S
Enumeration Date
Aug 5, 2011
Last Updated
Aug 8, 2016

Practice Location

Address
3010 CRAIN HWY
Address 2
SUITE 202
ZIP Code
20601-2801
Phone
(240) 518-8928

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Dentist - General PracticeGeneral Practice

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