Provider Demographics
NPI:1851149785
Name:SHOKRIAN, YASMIN (DDS)
Entity type:Individual
Prefix:
First Name:YASMIN
Middle Name:
Last Name:SHOKRIAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:YASMIN
Other - Middle Name:
Other - Last Name:SHOKRIAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:9 SINCLAIR DR
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11024-1621
Mailing Address - Country:US
Mailing Address - Phone:516-640-8050
Mailing Address - Fax:
Practice Address - Street 1:9 SINCLAIR DR
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11024-1621
Practice Address - Country:US
Practice Address - Phone:516-640-8050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-07
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program