Individual
SIMA SHAKIBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4414 N FLORISSANT AVE, SAINT LOUIS, MO 63107-1812
(314) 814-8700
(314) 814-8593
Mailing address
1717 BIDDLE ST, SAINT LOUIS, MO 63106-3454
(314) 814-8700
(314) 814-8593
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2020022335
MO
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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