Individual
MARK JOSEPH GIANATASSIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
820 LYNN FELLS, MELROSE, MA 02176
(781) 979-0235
(781) 979-0230
Mailing address
820 LYNN FELLS PKWY, MELROSE, MA 02176
(781) 979-0235
(781) 979-0230
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16926
MA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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