| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 02/14/2013 |
| Last Update Date | 10/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295075034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | JM008259 (Michigan) | Primary |
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