Charles William Mattis, DDS

NPI #1093298085 in Bradenton, Florida

Provider Information

NPI Number
1093298085
Entity Type
Individual
Name
Charles William Mattis, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Sep 14, 2018
Last Updated
Sep 14, 2018

Practice Location

Address
4800 LAKEWOOD RANCH BLVD
State
Florida
ZIP Code
34211-4953
Phone
(941) 405-1603

Specialties & Taxonomy Codes

Specialty
Dentist

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