Individual
DONNA LOUISE MASSOTH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS MSD PH D
Contact information
Practice address
4500 SAND POINT WAY NE, #218, SEATTLE, WA 98105-3900
(206) 524-3773
(206) 526-7361
Mailing address
4500 SAND POINT WAY NE, #218, SEATTLE, WA 98105-3900
(206) 524-3773
(206) 526-7361
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DE00005905
WA
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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