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Individual
DR. SHAMIK MAHENDRA SHASTRI
Active
Individual
DR. SHAMIK MAHENDRA SHASTRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MPH
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
63664
CA
1223G0001X
General Practice Dentistry
Primary
30655
TX
Other
Enumeration date
07/22/2014
Last updated
07/06/2024
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