MICHAEL BRUCE KOIDIN DDS - Dentist License in Massachusetts | # 019014893

MICHAEL BRUCE KOIDIN DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014893

License Status

INACTIVE

Business

N

First Name

MICHAEL BRUCE

Last Name

KOIDIN

Suffix

DDS

Business Name

MICHAEL BRUCE KOIDIN DDS

Original Issue Date

07/17/1974

Effective Date

07/17/1974

Expiration Date

09/30/2004

State

MA

Ever Disciplined

N

LastModifiedDate

10/17/2005