Individual
DR. BRADLEY LAWRENCE MASSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
110 DEWITT LN, SPRING LAKE, MI 49456-1921
(616) 842-1562
Mailing address
110 DEWITT LN, SPRING LAKE, MI 49456-1921
(616) 842-1562
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
014112
MI
Other
Enumeration date
07/28/2006
Last updated
02/03/2015
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