# I.RICHARD MASSOTH, DDS, LISE LAFLAMME, DMD

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

## Provider details

- **NPI number:** 1972817427
- **Authorized official:** DR. RICHARD MASSOTH (DDS, MSD)
- **Authorized official phone:** (818) 705-1274

## Contact information

- **Practice address:** 5567 RESEDA BLVD STE 100, TARZANA, CA 91356-2648
- **Practice address phone:** (818) 705-1274
- **Practice address fax:** (818) 705-6782
- **Mailing address:** 5567 RESEDA BLVD STE 100, TARZANA, CA 91356-2648
- **Mailing address phone:** (818) 705-1274
- **Mailing address fax:** (818) 705-6782

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 28957 | CA | Yes |

## Other

- **Enumeration date:** 07/27/2010
- **Last updated:** 07/27/2010