Individual
DR. NIKKI SHAKOURIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2011 W BARDIN ROAD, DALLAS, TX 76017-7596
(978) 852-9401
Mailing address
2011 W BARDIN RD, ARLINGTON, TX 76017-1654
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901020868
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
29968
TX
Other
Enumeration date
02/08/2013
Last updated
08/21/2014
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