Victor Mastaglio, DDS

NPI 1972789949 · on the registry since 2008

Practice

Address: 2140 Lake Michigan Dr Nw
Grand Rapids, MI 49504
Phone: (616) 735-2577
Organisation at this address: Oral & Maxillofacial Surgery Associates Of Western Michigan Plc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-01-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan