NICHOLAS MASSOTH, D.M.D.

Dentist - Oral and Maxillofacial Pathology

Active Individual
NPI: 1114957917

Practice Address

4121 CLOCK TOWER AVE
Caldwell, ID 83607

Phone: (208) 459-7800

Specialties

Specialty Code Primary License
Dentist - Oral and Maxillofacial Pathology 1223P0106X Yes D 3848 OS (ID)

Frequently Asked Questions

NPI 1114957917 is the National Provider Identifier for NICHOLAS MASSOTH, D.M.D., a Dentist - Oral and Maxillofacial Pathology provider located in Caldwell, ID. This NPI was enumerated on July 4, 2006.
NICHOLAS MASSOTH, D.M.D. practices at 4121 CLOCK TOWER AVE, Caldwell, ID 83607.

Quick Facts

NPI
1114957917
Type
Individual
Enumerated
Jul 4, 2006
Last Updated
Jul 9, 2007

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