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Individual

DR. MICHAEL JOHN MAISTROS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1758 COMMERCE CENTER BLVD, FAIRBORN, OH 45324-6358
(937) 879-9906
(937) 879-9417
Mailing address
1758 COMMERCE CENTER BLVD, FAIRBORN, OH 45324-6358
(937) 879-9906
(937) 879-9417

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30018126
OH

Other

Enumeration date
05/15/2007
Last updated
07/08/2007
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