| Kayhan Mashouf Dmd Inc | |
|
270 Green Valley Rd Freedom CA 95019 | |
| (408) 674-3146 | |
| Not Available |
| Full Name | Kayhan Mashouf Dmd Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 270 Green Valley Rd, Freedom, California |
| Authorized Official Name and Position | Kayhan Lawrence Mashouf (PRESIDENT) |
| Authorized Official Contact | 4086743146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kayhan Mashouf Dmd Inc 1762 Hallmark Ln San Jose CA 95124 Ph: (408) 674-3146 | Kayhan Mashouf Dmd Inc 270 Green Valley Rd Freedom CA 95019 Ph: (408) 674-3146 |
| NPI Number | 1699232108 |
|---|---|
| Provider Enumeration Date | 02/21/2019 |
| Last Update Date | 02/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699232108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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