Southern View Dental Group
NPI #1396835732 in Springfield, Illinois
Provider Information
- NPI Number
- 1396835732
- Entity Type
- Organization
- Organization Name
- Southern View Dental Group
- Primary Specialty
- Dentist
- Enumeration Date
- Oct 14, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2743 S 6TH STREET
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62703
- Phone
- (217) 522-4121
Authorized Official
- Name
- IBRAHIM MASSOUD, DDS
- Title
- OWNER
- Phone
- (217) 522-4121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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