Individual
DR. JOHN ROBERT MASCARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MD
Contact information
Practice address
4230 STATE ROUTE 306, SUITE 350, WILLOUGHBY, OH 44094
(440) 946-2247
(440) 946-3530
Mailing address
4230 STATE ROUTE 306, SUITE 350, WILLOUGHBY, OH 44094
(440) 946-2247
(440) 946-3530
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30019907
OH
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
35066280
OH
Other
Enumeration date
08/11/2006
Last updated
01/28/2008
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