Individual
FRANK DOMINIC MASSARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2060 FAIRPORT NINE MILE POINT RD, PENFIELD, NY 14526-1749
(585) 377-5810
(585) 377-1121
Mailing address
2060 FAIRPORT NINE MILE POINT RD, PENFIELD, NY 14526-1749
(585) 377-5810
(585) 377-1121
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0441791
NY
1223G0001X
General Practice Dentistry
Primary
044179
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02164390
—
NY
Enumeration date
03/06/2007
Last updated
03/03/2015
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