DR. Mark Matthew Matsumoto, D.D.S.

NPI #1053369975 in Edina, Minnesota

Provider Information

NPI Number: 1053369975
Entity Type: Individual
Name: DR. Mark Matthew Matsumoto, D.D.S.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: May 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 5201 EDEN AVE
Address 2: SUITE 120
City: Edina
State: Minnesota
ZIP Code: 55436-2316
Phone: (952) 746-0225

Specialties & Taxonomy Codes

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

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