Individual
SHAYAN SHEKARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1147 EGLIN ST # 57701, RAPID CITY, SD 57701-9644
(605) 877-3798
Mailing address
1147 EGLIN ST, RAPID CITY, SD 57701-9644
(605) 877-3798
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1002700
WI
122300000X
Dentist
Primary
D1386
SD
Other
Enumeration date
10/14/2021
Last updated
03/05/2023
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