DR. Jeremy Isak Matis, DDS

NPI #1053685008 in Fairchild Afb, Washington

Provider Information

NPI Number: 1053685008
Entity Type: Individual
Name: DR. Jeremy Isak Matis, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Mar 7, 2012
Last Updated: Jun 25, 2024

Practice Location

Address: 92D MEDICAL GROUP
Address 2: 701 HOSPITAL LOOP, SUITE 350
City: Fairchild Afb
State: Washington
ZIP Code: 99011
Phone: (095) 247-4770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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