Individual
SHALINI SANKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9698 FILAMENT BLVD, JACKSONVILLE, FL 32256-0292
(617) 306-7772
Mailing address
9698 FILAMENT BLVD, JACKSONVILLE, FL 32256-0292
(617) 306-7772
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
27315
TX
122300000X
Dentist
6880
OK
1223G0001X
General Practice Dentistry
Primary
6880
OK
1223P0221X
Pediatric Dentistry
Primary
27315
TX
Other
Enumeration date
07/14/2009
Last updated
02/23/2026
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