Individual
DR. MARK A MASTELLOTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
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
122300000X
Dentist
Primary
17762
MI
Other
Enumeration date
12/12/2006
Last updated
01/20/2012
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