| NPI | 1285094862 |
|---|---|
| Doing Business As | MASTROIANNI ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JEFFREY MASTROIANNI CEO 618-288-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 21002018) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-02-25 |