| I.richard Massoth, Dds, Lise Laflamme, Dmd | |
|
5567 Reseda Blvd Ste 100 Tarzana CA 91356-2648 | |
| (818) 705-1274 | |
| (818) 705-6782 |
| Full Name | I.richard Massoth, Dds, Lise Laflamme, Dmd |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 5567 Reseda Blvd Ste 100, Tarzana, California |
| Authorized Official Name and Position | Richard Massoth (DDS, MSD) |
| Authorized Official Contact | 8187051274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| I.richard Massoth, Dds, Lise Laflamme, Dmd 5567 Reseda Blvd Ste 100 Tarzana CA 91356-2648 Ph: (818) 705-1274 | I.richard Massoth, Dds, Lise Laflamme, Dmd 5567 Reseda Blvd Ste 100 Tarzana CA 91356-2648 Ph: (818) 705-1274 |
| NPI Number | 1972817427 |
|---|---|
| Provider Enumeration Date | 07/27/2010 |
| Last Update Date | 07/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972817427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 28957 (California) | Primary |
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