Individual
DR. NESSA SHEKARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2501 W LEHIGH AVE, PHILADELPHIA, PA 19132-3207
(215) 227-0300
(215) 227-0302
Mailing address
1222 LOCUST ST APT 405, PHILADELPHIA, PA 19107-5631
(484) 241-5939
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS041090
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103314125-0001
—
PA
Enumeration date
06/14/2016
Last updated
03/17/2018
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