Eghtedari, Masoud
Eghtedari, Masoud is an individual health care provider with primary practice located at Bldg H 2005 Knight Lane Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville FL 32212-0140. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Eghtedari, Masoud can be contacted via phone (858) 577-4725.Contact Information
Primary practice address
Bldg H 2005 Knight Lane Navy Medicine Support Command Attn: Medical Staff Svcs
Jacksonville FL 32212-0140
Phone: (858) 577-4725
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Prosthodontics | 1223P0700X | 4777 | Louisiana |
Profile Details
| NPI number | 1982676508 |
|---|---|
| LBN Legal business name | Eghtedari, Masoud |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Feb 3rd, 2009 - 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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