Organization
GARY R. MASSA DDS, MSD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY R MASSA DDS (PRESIDENT)
(310) 342-1399
Entity
Organization
Contact information
Practice address
8930 S SEPULVEDA BLVD, SUITE 101, LOS ANGELES, CA 90045-3606
(310) 342-1399
Mailing address
8930 S SEPULVEDA BLVD, SUITE 101, LOS ANGELES, CA 90045-3606
(310) 342-1399
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
36261
CA
Other
Enumeration date
02/22/2007
Last updated
06/03/2013
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