Individual
LON MASSAGLIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
578 NE DIXIE HWY, JENSEN BEACH, FL 34957-6115
(772) 225-2111
(772) 225-2114
Mailing address
578 NE DIXIE HWY, JENSEN BEACH, FL 34957-6115
(772) 225-2111
(772) 225-2114
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN9277
FL
Other
Enumeration date
09/07/2007
Last updated
06/04/2009
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