Individual
ELHAM SHAKERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1476 PROFESSIONAL DR, PETALUMA, CA 94954-1500
(707) 763-4142
Mailing address
633 ALCATRAZ AVE, OAKLAND, CA 94609-1005
(415) 987-5466
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
110760
CA
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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