DR. Michael Masoncup, D.D.S
NPI #1720179229 in St Charles, Illinois
Provider Information
- NPI Number
- 1720179229
- Entity Type
- Individual
- Name
- DR. Michael Masoncup, D.D.S
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S
- Enumeration Date
- Sep 27, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1309 W MAIN ST
- City
- St Charles
- State
- Illinois
- ZIP Code
- 60174-1623
- Phone
- (630) 584-6340
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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