Individual
DR. DINA R. MASSRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12395 EL CAMINO REAL, SUITE 200, SAN DIEGO, CA 92130-3082
(858) 755-6647
Mailing address
12395 EL CAMINO REAL, SUITE 200, SAN DIEGO, CA 92130-3082
(858) 755-6647
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A68240
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A682400
—
CA
Enumeration date
04/03/2006
Last updated
12/18/2012
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