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 |