Individual
MRS. THERESA FAYE MASSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 SUPERIOR AVE, BARAGA, MI 49908-9673
(906) 353-8787
(906) 353-8799
Mailing address
102 SUPERIOR AVE, BARAGA, MI 49908-9673
(906) 353-8787
(906) 353-8799
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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