Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0004X | Dentist Anesthesiologist | 40093 | CA |
NPI | 1750430559 |
---|---|
Provider Name | Dr. Michael Mashni |
First Address | Fullerton, CA 92835 |
Second Address | Fullerton, CA 92835 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2007 |
Last Update Date | 17/05/2013 |