Individual
MICHAEL MATTHIEW MESSANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
0401511535
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
044592-1
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DI018514
NJ
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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