Individual
DR. MICHAEL MASSOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
63 N LAKEVIEW DR STE 101, GIBBSBORO, NJ 08026-1026
(856) 784-7900
Mailing address
128 LEAH CT, DAYTON, NJ 08810-1348
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02723900
NJ
Other
Enumeration date
07/13/2018
Last updated
08/11/2019
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