DR. Severino Jose Mata Mata, D.D.S.
NPI #1013391721 in Farmington, Connecticut
Provider Information
- NPI Number
- 1013391721
- Entity Type
- Individual
- Name
- DR. Severino Jose Mata Mata, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Credential
- D.D.S.
- Enumeration Date
- Jul 13, 2015
- Last Updated
- Jul 13, 2015
Practice Location
- Address
- 263 FARMINGTON AVE
- City
- Farmington
- State
- Connecticut
- ZIP Code
- 06030-0001
- Phone
- (860) 679-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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