Individual
DR. MICHAEL TODD MASSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
321 N BELLWOOD DR, EAST ALTON, IL 62024-2038
(618) 258-0028
(618) 258-1060
Mailing address
321 N BELLWOOD DR, EAST ALTON, IL 62024-2038
(618) 258-0028
(618) 258-1060
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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