Individual
DIANA LIVIA MASTRONARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
20805 E 12 MILE RD, ROSEVILLE, MI 48066-6502
(586) 773-9660
(586) 773-2640
Mailing address
20805 E 12 MILE RD, ROSEVILLE, MI 48066-6502
(586) 773-9660
(586) 773-2640
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901017725
MI
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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