Nicholas A Massoth, D.M.D.

NPI #1114957917 in Caldwell, Idaho

Provider Information

NPI Number: 1114957917
Entity Type: Individual
Name: Nicholas A Massoth, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Oral and Maxillofacial Pathology
Credential: D.M.D.
Enumeration Date: Jul 4, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 4121 CLOCK TOWER AVE
City: Caldwell
State: Idaho
ZIP Code: 83607-5006
Phone: (208) 459-7800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Pathology — Oral and Maxillofacial Pathology	1223P0106X	Primary

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