Individual
DR. MICHAEL ANTHONY MASINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
171 RIDGEDALE AVE # C, FLORHAM PARK, NJ 07932-1764
(973) 377-4688
Mailing address
10 OLYMPIA DR, EAST HANOVER, NJ 07936-1611
(973) 738-7741
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22DI02936300
NJ
1223G0001X
General Practice Dentistry
22DI02936301
NJ
1223G0001X
General Practice Dentistry
Primary
22DI02936302
NJ
1223G0001X
General Practice Dentistry
DN27425
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2022
Last updated
08/02/2023
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