Andrew S Matta Dmd Poland LLC

NPI #1033412994 in Poland, Ohio

Provider Information

NPI Number: 1033412994
Entity Type: Organization
Organization Name: Andrew S Matta Dmd Poland LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 15, 2010
Last Updated: Dec 15, 2010

Practice Location

Address: 8274 YOUNGSTOWN PITTSBURGH RD
City: Poland
State: Ohio
ZIP Code: 44514-2809
Phone: (330) 707-9808

Authorized Official

Name: ANDREW S MATTA, DMD
Title: SOLE MEMBER
Phone: (330) 533-3400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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