Organization
MARK A MASSA DDS & ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A MASSA DDS (DENTIST OWNER)
(419) 342-4217
Entity
Organization
Contact information
Practice address
100 W MAIN ST, SHELBY, OH 44875
(419) 342-4217
(419) 342-4103
Mailing address
100 W MAIN ST, SHELBY, OH 44875
(419) 342-4217
(419) 342-4103
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
13616
OH
1223G0001X
General Practice Dentistry
Primary
19908
OH
Other
Enumeration date
01/24/2007
Last updated
08/22/2020
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