Most Relevant Information
Provider Data
| NPI Number: | 1003664426 |
| Provider Name: | SHIVANESH NAICKER DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 110062 |
Most Important Dates
| Enumeration Date: | 05/09/2024 |
| Last Updated: | 08/13/2024 |
Provider Practice Location
450 SUTTER ST RM 808
SAN FRANCISCO
CA
941083910
Practice Location Phone/Fax
| Phone: | 4155135066 |
| Fax: |
Provider Mailing Location
657 SPRUCE AVE
SOUTH SAN FRANCISCO
CA
940802751
Provider Mailing Phone/Fax
| Phone: | 6509228418 |
| Fax: |