Mark a Mastellotto Ddspc

NPI #1588398333 in Adrian, Michigan

Provider Information

NPI Number
1588398333
Entity Type
Organization
Organization Name
Mark a Mastellotto Ddspc
Primary Specialty
Dental Laboratory
Enumeration Date
Jul 15, 2022
Last Updated
Jul 15, 2022

Practice Location

Address
760 RIVERSIDE AVE
City
Adrian
ZIP Code
49221-1445
Phone
(517) 263-0338

Authorized Official

Name
DEBBIE J WATTERS
Title
OFFICE MANAGER
Phone
(517) 263-0338

Specialties & Taxonomy Codes

Specialty
Dental Laboratory

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