Individual
DR. HOOMAN SHAKIBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
217 SE 136TH AVE STE 102, VANCOUVER, WA 98684-6908
(360) 896-9595
(360) 896-9703
Mailing address
217 SE 136TH AVE STE 102, VANCOUVER, WA 98684-6908
(360) 896-9595
(360) 896-9703
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60242017
WA
Other
Enumeration date
07/08/2009
Last updated
05/02/2016
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