NPI | 1245459379 |
---|---|
Other Name | MASSOUD KASHANCHI |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 030399) |
Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: CA 030399) |
Enumeration Date | 2007-04-25 |
Last Update Date | 2020-11-26 |