Dr. Roxana Mashoon, D.D.S.
Dentist, General Practice in San Diego, CA. Individual provider (NPI-1).
NPI number1861694838
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1861694838
- Entity type
- Individual (NPI-1)
- Name
- Dr. Roxana Mashoon
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 1, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 39681 | CA | Yes |
Practice location
3078 University AveSan Diego, CA 92104-3034
Phone 619-295-8891 · Fax 619-295-8896
Mailing address
15206 Fire Opal CtSan Diego, CA 92127-4451
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