Individual
DANIEL V MASCIANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
230 W DARES BEACH RD, PRINCE FREDERICK, MD 20678-3150
(410) 535-5055
Mailing address
22633 HOLLAND SHORE DR, CALIFORNIA, MD 20619
(410) 535-5055
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8583
MD
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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