Individual
DR. MATTHEW DEL MASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3401 HIGHWAY 169 N, PLYMOUTH, MN 55441-2413
(763) 559-0859
Mailing address
8052 MAGNOLIA LN N, MAPLE GROVE, MN 55369-7177
(401) 258-2909
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D12910
MN
1223E0200X
Endodontics
DN1855145
MA
Other
Enumeration date
10/26/2009
Last updated
06/05/2011
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