Organization
I.RICHARD MASSOTH, DDS, LISE LAFLAMME, DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD MASSOTH (DDS, MSD)
(818) 705-1274
Entity
Organization
Contact information
Practice address
5567 RESEDA BLVD STE 100, TARZANA, CA 91356-2648
(818) 705-1274
(818) 705-6782
Mailing address
5567 RESEDA BLVD STE 100, TARZANA, CA 91356-2648
(818) 705-1274
(818) 705-6782
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
28957
CA
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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