Norbert A Matulis, DDS

NPI #1154397057 in St John, Indiana

Provider Information

NPI Number: 1154397057
Entity Type: Individual
Name: Norbert A Matulis, DDS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Feb 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 9207 WICKER AVENUE
City: St John
State: Indiana
ZIP Code: 46373
Phone: (219) 365-8696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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