Individual
DR. JOSEPH ANTHONY MASTROMATTEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
312 SOUTH BROADWAY STREET, LAKE ORION, MI 48362-2794
(248) 693-1331
(248) 693-1385
Mailing address
312 S BROADWAY ST, LAKE ORION, MI 48362-2794
(248) 693-1331
(248) 693-1385
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8259
MI
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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