Provider Demographics
NPI:1336344050
Name:MASSO, ORFFA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ORFFA
Middle Name:
Last Name:MASSO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12741 MIRAMAR PRKWAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027
Mailing Address - Country:US
Mailing Address - Phone:954-659-8038
Mailing Address - Fax:
Practice Address - Street 1:12741 MIRAMAR PKWY
Practice Address - Street 2:SUITE 201
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-2903
Practice Address - Country:US
Practice Address - Phone:954-659-8038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN157031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice