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Individual

DR. SHAISTA RASHID

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS, MS, MPH

Contact information

Practice address
1500 PARK AVE, SAINT LOUIS, MO 63104-3024
(515) 720-8196
Mailing address
1500 PARK AVE, SAINT LOUIS, MO 63104-3024
(515) 720-8196

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2021011959
MO
122300000X
Dentist
F009
OK
1223G0001X
General Practice Dentistry
FDN13
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010211810
UNE OHC
ME
01
010211810
DENTISTRY
MO
01
536737
UNIVERSITY OF OKLAHOM
OK
Enumeration date
07/08/2016
Last updated
04/06/2022
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