Organization
HOOMAN SHAKIBA D.M.D.
Active
Other names
Vancouver Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOOMAN SHAKIBA DMD (MANAGER)
(360) 896-9595
Entity
Organization
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
11/17/2011
Last updated
11/17/2011
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