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Organization
HOOMAN SHAKIBA D.M.D.
Active
Organization
HOOMAN SHAKIBA D.M.D.
Active
Other names
Vancouver Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOOMAN SHAKIBA DMD (MANAGER)
(360) 896-9595
Entity
Organization
Contact information
Practice address
217 SE 136TH AVE STE 102, VANCOUVER, WA 98684-6908
(360) 896-9595
(360) 896-9703
Mailing address
217 SE 136TH AVE STE 102, VANCOUVER, WA 98684-6908
(360) 896-9595
(360) 896-9703
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60242017
WA
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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