Individual
LARISSA MASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
211 ROCK BARN RD NE, CONOVER, NC 28613-1709
(828) 464-6742
Mailing address
211 ROCK BARN RD NE, CONOVER, NC 28613-1709
(828) 464-6742
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7008
NC
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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