Mashod, Siamac

Mashod, Siamac is an individual health care provider with primary practice located at 11190 Monument Landing Blvd , Jacksonville FL 32225-4580. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mashod, Siamac can be contacted via phone (904) 645-9162.

Contact Information

Primary practice address
11190 Monument Landing Blvd Jacksonville FL 32225-4580
Phone: (904) 645-9162
Fax: (904) 998-8812
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 11314 Florida

Profile Details

NPI number 1174522387
LBN Legal business name Mashod, Siamac
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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