Organization · Type 2 NPI

J A Mastromatteo DDS PLLC

Dental Clinic/Center · Lake Orion, MI

NPI number 1295075034 Active

Practice location

312 S Broadway St
Lake Orion, MI 48362-2794

Fax (248) 693-1385

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XJM008259 (MI)

Dental Clinic/Center: Definition to come...

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About NPI 1295075034

J A Mastromatteo DDS PLLC's National Provider Identifier is 1295075034, issued on Feb 14, 2013. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Lake Orion, MI. The record was last updated on Oct 8, 2013.