Individual
KAYHAN LAWRENCE MASHOUF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1670 WESTWOOD DR, SUITE E, SAN JOSE, CA 95125-5111
(408) 266-8820
Mailing address
1670 WESTWOOD DR, SUITE E, SAN JOSE, CA 95125-5111
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
62378
CA
Other
Enumeration date
07/18/2015
Last updated
07/18/2015
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