Individual
DR. CAROLINE HELENE SHIBOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS PHD
Contact information
Practice address
521 PARNASSUS AVE # C-646, SAN FRANCISCO, CA 94143-2205
(415) 476-2045
(415) 514-2862
Mailing address
513 PARNASSUS AVE, SUITE S612, BOX 0422, SAN FRANCISCO, CA 94143-2205
(415) 476-5976
(415) 476-4204
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
37161
CA
174400000X
Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00371610
—
CA
Enumeration date
10/03/2006
Last updated
09/26/2007
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