J A Mastromatteo Dds Pllc | |
312 S Broadway St Lake Orion MI 48362-2794 | |
(248) 693-1331 | |
(248) 693-1385 |
Full Name | J A Mastromatteo Dds Pllc |
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Speciality | Clinic/center - Dental |
Location | 312 S Broadway St, Lake Orion, Michigan |
Authorized Official Name and Position | Joseph Anthony Mastromatteo (PRESIDENT) |
Authorized Official Contact | 2486931331 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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J A Mastromatteo Dds Pllc 312 S Broadway St Lake Orion MI 48362-2794 Ph: (248) 693-1331 | J A Mastromatteo Dds Pllc 312 S Broadway St Lake Orion MI 48362-2794 Ph: (248) 693-1331 |
NPI Number | 1295075034 |
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Provider Enumeration Date | 02/14/2013 |
Last Update Date | 10/08/2013 |
Identifier | Type | State | Issuer |
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1295075034 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | JM008259 (Michigan) | Primary |
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