Dr. Shakira Martin, DMD
Dentist in San Diego, CA. Individual provider (NPI-1).
NPI number1982154878
StatusActive
Last updated in NPPESOct 4, 2016
Details
- NPI
- 1982154878
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shakira Martin
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 4, 2016
- Last updated
- Oct 4, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 52929 | CA | Yes |
Practice location
12750 Carmel Country RdSte 215
San Diego, CA 92130-2159
Phone 858-259-1400
Mailing address
12750 Carmel Country RdSte 215
San Diego, CA 92130-2159
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