Individual
DR. ELAINE MASUCCI MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4347 NEBRASKA AVE NW, WASHINGTON, DC 20016-2131
(202) 966-1900
(202) 966-4078
Mailing address
4347 NEBRASKA AVE NW, WASHINGTON, DC 20016-2131
(202) 966-1900
(202) 966-4078
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10167
MD
122300000X
Dentist
Primary
DEN 5181
DC
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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