Individual
DR. SHAKILA S. ZIASHAKERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
514 GARFIELD AVE, AVON BY THE SEA, NJ 07717-1157
(732) 775-1492
Mailing address
21 LONGWOOD AVE, BROOKLINE, MA 02446-5239
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1857652
MA
1223P0221X
Pediatric Dentistry
22DI02776900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/15/2016
Last updated
08/13/2024
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