Provider Demographics
NPI:1760651822
Name:MAS, EDUARDO MANUEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:EDUARDO
Middle Name:MANUEL
Last Name:MAS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5510 WESTFIELD ST
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92887-3728
Mailing Address - Country:US
Mailing Address - Phone:714-280-1708
Mailing Address - Fax:
Practice Address - Street 1:5510 WESTFIELD ST
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92887-3728
Practice Address - Country:US
Practice Address - Phone:714-280-1708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-22
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA560911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice