Provider Demographics
NPI:1750579686
Name:MASSRI, ABIR ALI (DDS)
Entity type:Individual
Prefix:DR
First Name:ABIR
Middle Name:ALI
Last Name:MASSRI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:ABIR
Other - Middle Name:ALI
Other - Last Name:MASSRI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:916 NE62ND ST
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33334-4110
Mailing Address - Country:US
Mailing Address - Phone:954-530-5674
Mailing Address - Fax:
Practice Address - Street 1:916 NE62ND ST
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33334-4110
Practice Address - Country:US
Practice Address - Phone:954-530-5674
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-04
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN178501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice