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:
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 19 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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