-- NICHOLAS A MASSOTH -- D.M.D.
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Pathology
Provider Information
- NPI Number
1114957917- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.M.D.
- Status
- Active
Contact & Location
- Address
- 4121 CLOCK TOWER AVE, CALDWELL, ID, 836075006
- Phone
- (208) 459-7800
- Fax
- (208) 455-8452
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Pathology
Primary License: ID #D 3848 OS