Individual
DR. SHIVA SHEIKHOLESLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D., M.D.S.
Contact information
Practice address
731 ALTOS OAKS DR, LOS ALTOS, CA 94024-5402
(650) 948-6884
(650) 948-7244
Mailing address
3236 OCTAVIA ST, SAN FRANCISCO, CA 94123-2211
(415) 374-7224
(650) 938-1999
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
54975
CA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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