# MORTIERE AND GASPAROTTO DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mortiere & Gasparotto DDS PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194813535
- **Authorized official:** DR. ROBERT CALLISTO GASPAROTTO DDS (VICE PRESIDENT)
- **Authorized official phone:** (734) 459-1950

## Contact information

- **Practice address:** 5958 N CANTON CENTER RD STE 600, CANTON, MI 48187-2766
- **Practice address phone:** (734) 459-1950
- **Practice address fax:** (734) 459-5710
- **Mailing address:** 5958 N CANTON CENTER RD STE 600, CANTON, MI 48187-2766
- **Mailing address phone:** (734) 459-1950
- **Mailing address fax:** (734) 459-5710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 014843 | MI | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 07/08/2019