Organization
MATTHEW MASTROROCCO DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW RYAN MASTROROCCO DMD (DENTIST)
(843) 682-4601
Entity
Organization
Contact information
Practice address
4101 MAIN ST, SUITE D, HILTON HEAD, SC 29926-4608
(843) 682-4601
(843) 682-4602
Mailing address
4101 MAIN ST, SUITE D, HILTON HEAD, SC 29926-4608
(843) 682-4601
(843) 682-4602
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3732
SC
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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