Individual
DR. VICTOR H MASTAGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2140 LAKE MICHIGAN DR NW, GRAND RAPIDS, MI 49504-4785
(616) 735-2577
Mailing address
2140 LAKE MICHIGAN DR NW, GRAND RAPIDS, MI 49504-4785
(616) 735-2577
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11599
MI
Other
Enumeration date
01/21/2008
Last updated
01/21/2008
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