Jeffrey Ray Mattila, D.d.s,p.c.
NPI #1548486079 in Grants, New Mexico
Provider Information
- NPI Number
- 1548486079
- Entity Type
- Organization
- Organization Name
- Jeffrey Ray Mattila, D.d.s,p.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 17, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 200 LINCOLN AVE
- City
- Grants
- State
- New Mexico
- ZIP Code
- 87020-2828
- Phone
- (505) 287-2000
Authorized Official
- Name
- DR. JEFFREY RAY MATTILA, D.D.S.
- Title
- PRESIDENT
- Phone
- (505) 287-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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