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NPI Code Detail

MEDICARE: DAVID E. MASTROTA, DMD,PA

MEDICARE: DAVID E. MASTROTA, DMD,PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1174650493
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVID E. MASTROTA, DMD,PA
Provider Business Mailing Address
First Line : 2215 PENNSYLVANIA AVE
Second Line :
City : WILMINGTON
State : DE
Zip : 19806-2443
Country : US
Telephone Number : 302-654-0100
Fax Number :
Provider Business Practice Location Address
First Line : 2215 PENNSYLVANIA AVE
Second Line :
City : WILMINGTON
State : DE
Zip : 19806-2443
Country : US
Telephone Number : 302-654-0100
Fax Number :
Authorized Official
Title or Position : DOCTOR
Name : DR. DAVID E. MASTROTA
Credential :
Telephone Number : 302-654-0100
Provider Enumeration Date : 02/27/2007
Last Update Date : 08/22/2020

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Directions to “DAVID E. MASTROTA, DMD,PA ” Practice Location

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