Andrew S Matta Dmd Boardman LLC

NPI #1194029736 in Boardman, Ohio

Provider Information

NPI Number
1194029736
Entity Type
Organization
Organization Name
Andrew S Matta Dmd Boardman LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 22, 2010
Last Updated
Dec 22, 2010

Practice Location

Address
6540 SOUTH AVE
State
Ohio
ZIP Code
44512-3651
Phone
(330) 758-6165

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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