Individual
DR. GARY L MASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1900 PACKARD RD, YPSILANTI, MI 48197
(734) 481-0010
(734) 481-0080
Mailing address
1900 PACKARD RD, YPSILANTI, MI 48197
(734) 481-0010
(734) 481-0080
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
11095
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9758175050
BC MEDICAL
—
01
—
D110950
DENTAL LIS
MI
Enumeration date
11/16/2006
Last updated
07/08/2007
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