# GARY R. MASSA DDS, MSD, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639204241
- **Authorized official:** DR. GARY R MASSA DDS (PRESIDENT)
- **Authorized official phone:** (310) 342-1399

## Contact information

- **Practice address:** 8930 S SEPULVEDA BLVD, SUITE 101, LOS ANGELES, CA 90045-3606
- **Practice address phone:** (310) 342-1399
- **Mailing address:** 8930 S SEPULVEDA BLVD, SUITE 101, LOS ANGELES, CA 90045-3606
- **Mailing address phone:** (310) 342-1399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 36261 | CA | Yes |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 06/03/2013