Joseph Anthony Mastromatteo D.D.S.

NPI 1689726150 - Dentist - 1223G0001X

NPI Details
NPI 1689726150
Gender Male
Enumeration Date 01/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
312 SOUTH BROADWAY STREET
LAKE ORION MI, 48362-2794, US
Phone (248) 693-1331
Fax (248) 693-1385
Business Location
312 S BROADWAY ST
LAKE ORION MI, 48362-2794, US
Phone (248) 693-1331
Fax (248) 693-1385
Toxanomy
Taxonomy Code 1223G0001X
License State Michigan
License Number 8259
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According to our database, Dr. Joseph Anthony Mastromatteo D.D.S. NPI is 1689726150, taxonomy code is 1223G0001X and license number is 8259, license state is located at Michigan. Joseph Anthony Mastromatteo D.D.S. physically located at 312 South Broadway Street, Lake Orion MI, 48362-2794. NPI Number Joseph Anthony Mastromatteo D.D.S. has the Individual type.

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1689726150 NPI number is provided on an as is basis without warranty of any kind. 1689726150 is maintained by the National Plan & Provider Enumeration System. The contents of Joseph Anthony Mastromatteo D.D.S. are for informational purposes only.