Individual
SHAHRAM MASHADIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
12640 HESPERIA RD STE A, VICTORVILLE, CA 92395-7753
(760) 241-3336
Mailing address
12640 HESPERIA RD STE A, VICTORVILLE, CA 92395-7753
(760) 241-3336
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
OMS69
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A96072
CA
Other
Enumeration date
05/22/2007
Last updated
09/11/2025
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