Organization
OAKRIDGE DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN AMIR MASHHOON D.D.S. (OWNER/DENTIST)
(408) 360-0270
Entity
Organization
Contact information
Practice address
5450 THORNWOOD DR STE B, SAN JOSE, CA 95123-1222
(408) 360-0270
(408) 360-0275
Mailing address
5450 THORNWOOD DR STE B, SAN JOSE, CA 95123-1222
(408) 360-0270
(408) 360-0275
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
38560
CA
305R00000X
Preferred Provider Organization
Primary
38560
CA
Other
Enumeration date
08/13/2007
Last updated
03/08/2016
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