Individual
SHAKIBA NASSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 270-5139
(405) 290-1650
Mailing address
921NE 13TH, OKLAHOMA CITY, OK 73104
(405) 270-5139
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4979
OK
Other
Enumeration date
07/20/2006
Last updated
07/16/2007
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