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Organization
MARK A MASTELLOTTO DDSPC
Active
Organization
MARK A MASTELLOTTO DDSPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE J WATTERS (OFFICE MANAGER)
(517) 263-0338
Entity
Organization
Contact information
Practice address
760 RIVERSIDE AVE, ADRIAN, MI 49221-1445
(517) 263-0338
(517) 263-1138
Mailing address
760 RIVERSIDE AVE, ADRIAN, MI 49221-1445
(517) 263-0338
(517) 263-1138
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
—
NULL
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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