Individual
DR. NIKKI SHAFIEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
555 S RANCHO SANTA FE RD STE 101, SAN MARCOS, CA 92078-3698
(619) 840-4848
Mailing address
407 MACARTHUR AVE NE, VIENNA, VA 22180-3563
(703) 297-1400
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
63007
CA
Other
Enumeration date
03/13/2012
Last updated
05/20/2020
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