MICHAEL MASONCUP

ST CHARLES, IL
NPI1720179229
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019-15590)
Enumeration Date2006-09-27
Last Update Date2007-07-08
Business Address
Dr. MICHAEL MASONCUP D.D.S
1309 W MAIN ST
ST CHARLES, IL 60174-1623
Phone number: 630-584-6340
Mailing Address
Dr. MICHAEL MASONCUP D.D.S
36W447 FERSON CREEK RD
ST CHARLES, IL 60174-1120
Phone number: 630-584-4617