Individual
DR. DANIEL GHORBANI MASHOOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
12821 MAIN ST STE 150, HESPERIA, CA 92345-9130
(760) 947-9853
(760) 956-7813
Mailing address
12821 MAIN ST STE 150, HESPERIA, CA 92345-9130
(425) 213-6606
(425) 643-3733
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS60273
CA
1223P0700X
Prosthodontics
DE00009770
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5045851
—
WA
Enumeration date
08/09/2006
Last updated
08/22/2023
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