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

Specialty	Code	License #	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 18 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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