Individual
DR. CHRISTIE NICOLE MASSOUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
505 N JACKSON ST, JACKSON, MI 49201-1266
(517) 748-5500
Mailing address
8419 TRAIL RDG, DEXTER, MI 48130-9389
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901021430
MI
1223G0001X
General Practice Dentistry
DS039946
PA
Other
Enumeration date
10/24/2014
Last updated
02/17/2021
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