Organization
KAYHAN MASHOUF DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAYHAN LAWRENCE MASHOUF DMD (PRESIDENT)
(408) 674-3146
Entity
Organization
Contact information
Practice address
270 GREEN VALLEY RD, FREEDOM, CA 95019
(408) 674-3146
Mailing address
1762 HALLMARK LN, SAN JOSE, CA 95124
(408) 674-3146
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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