| NPI | 1972211134 |
|---|---|
| Doing Business As | MARK MASTELLOTTO DDS PC |
| Entity Type | Organization |
| Authorized Contact | MARK ARTHUR MASTELLOTTO Owner 517-263-0338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2022-11-07 |