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Individual

MICHAEL MUZTAFAGO JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3716 MELROSE AVE NW, ROANOKE, VA 24017-2716
(540) 362-0360
Mailing address
3716 MELROSE AVE NW, ROANOKE, VA 24017-2716
(540) 362-0360

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401415255
VA

Other

Enumeration date
06/13/2016
Last updated
06/13/2016
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