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Organization
SHAHRAM SHEKIB, DDS, FAGD, PC
Active
Organization
SHAHRAM SHEKIB, DDS, FAGD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHRAM SHEKIB DDS (PRESIDENT)
(718) 435-0045
Entity
Organization
Contact information
Practice address
1671 55TH ST, LOWER LEVEL, BROOKLYN, NY 11204-1824
(718) 435-0045
(718) 435-1260
Mailing address
1671 55TH ST, LOWER LEVEL, BROOKLYN, NY 11204-1824
(718) 435-0045
(718) 435-1260
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
046679
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01873069
—
NY
Enumeration date
09/20/2005
Last updated
03/18/2011
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