Individual
DR. JORDAN THOMAS MASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
242 MUSTANG TRL, SUITE #9, VIRGINIA BEACH, VA 23452-7515
(757) 340-1153
Mailing address
2533 SHIPS WATCH CT, VIRGINIA BEACH, VA 23451-1269
(248) 410-0999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412245
VA
122300000X
Dentist
2901019784
MI
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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