J a Mastromatteo DDS Pllc
NPI #1295075034 in Lake Orion, Michigan
Provider Information
- NPI Number
- 1295075034
- Entity Type
- Organization
- Organization Name
- J a Mastromatteo DDS Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 14, 2013
- Last Updated
- Oct 8, 2013
Practice Location
- Address
- 312 S BROADWAY ST
- City
- Lake Orion
- State
- Michigan
- ZIP Code
- 48362-2794
- Phone
- (248) 693-1331
Authorized Official
- Name
- DR. JOSEPH ANTHONY MASTROMATTEO, DDS
- Title
- PRESIDENT
- Phone
- (248) 693-1331
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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