NICHOLAS A MASSOTH

CALDWELL, ID
NPI1114957917
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0106X Dentist Oral and Maxillofacial Pathology
(Licence: ID  D 3848 OS)
Enumeration Date2006-07-04
Last Update Date2007-07-09
Business Address
NICHOLAS A MASSOTH D.M.D.
4121 CLOCK TOWER AVE
CALDWELL, ID 83607-5006
Phone number: 208-459-7800
Mailing Address
NICHOLAS A MASSOTH D.M.D.
4121 CLOCK TOWER AVE
CALDWELL, ID 83607-5006
Phone number: 208-459-7800
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