Organization
MICHAEL MASONBRINK DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MASONBRINK DDS (PRESIDENT)
(330) 866-3507
Entity
Organization
Contact information
Practice address
8373 WAYNESBURG DR SE, WAYNESBURG, OH 44688-9538
(330) 866-3507
Mailing address
8373 WAYNESBURG DR SE, WAYNESBURG, OH 44688-9538
(330) 866-3507
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0222020
—
OH
Enumeration date
02/07/2008
Last updated
02/07/2008
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