# MASSOUD KASHANCHI, DDS. PROF. CORP.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** South Coast Dental Specalists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972013134
- **Authorized official:** DR. MASSOUD KASHANCHI DDS. (DENTIST)
- **Authorized official phone:** (714) 662-4424

## Contact information

- **Practice address:** 1503 S COAST DR, COSTA MESA, CA 92626-1534
- **Practice address phone:** (714) 662-4424
- **Mailing address:** 1503 S. COAST DR., 110, COSTA MESA, CA 92626
- **Mailing address phone:** (714) 662-4424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | 30399 | CA | Yes |

## Other

- **Enumeration date:** 10/02/2017
- **Last updated:** 07/21/2022