Ibrahim Massoud, DDS
NPI #1598834616 in Springfield, Illinois
Provider Information
- NPI Number
- 1598834616
- Entity Type
- Individual
- Name
- Ibrahim Massoud, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Nov 6, 2006
- Last Updated
- May 31, 2013
Practice Location
- Address
- 2743 S 6TH STREET
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62703
- Phone
- (217) 522-4121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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