Individual
DR. GREGORY THOMAS MESSINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2101 RIVERSIDE DR, BELOIT, WI 53511-2932
(608) 365-4006
Mailing address
2101 RIVERSIDE DR, BELOIT, WI 53511-2932
(608) 365-4006
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4275-15
WI
1223G0001X
General Practice Dentistry
4275
WI
Other
Enumeration date
03/03/2007
Last updated
12/09/2012
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