Individual
DR. JODELL F MASCIOPINTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1600 SAINT JOHNS BLVD, SUITE 100, MAPLEWOOD, MN 55109-1183
(651) 770-7585
(651) 770-6021
Mailing address
4393 EVERGREEN DR, VADNAIS HEIGHTS, MN 55127-3614
(651) 426-0552
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9132
MN
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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