Organization
JEFFREY S. MASTROIANNI D.M.D., M.S., P.C.
Active
Other names
Mastroianni Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY S. MASTROIANNI D.M.D., M.S. (DR)
(618) 288-0600
Entity
Organization
Contact information
Practice address
2220 S. STATE ROUTE 157, SUITE 125, GLEN CARBON, IL 62034-1728
(618) 288-0600
(618) 288-8004
Mailing address
2220 S. STATE ROUTE 157, SUITE 125, GLEN CARBON, IL 62034-1728
(618) 288-0600
(618) 288-8004
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
019024812
IL
Other
Enumeration date
03/29/2007
Last updated
10/24/2014
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