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Individual

DR. MARK EDWARD MASSARO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3150 E 41ST STREET, STE 141, TULSA, OK 74105-3756
(918) 743-9924
(918) 743-1160
Mailing address
3150 E 41ST STREET, STE 141, TULSA, OK 74105-3756
(918) 743-9924
(918) 743-1160

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4838
OK

Other

Enumeration date
05/10/2006
Last updated
05/20/2008
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