Individual
ERIC RYAN MASSAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3431 S BOULEVARD ST STE 102, EDMOND, OK 73013-5514
(405) 844-8887
(405) 844-9625
Mailing address
2100 NAPA VALLEY RD, EDMOND, OK 73013-2987
(405) 844-8887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5875
OK
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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