DR. Matthew Theriac, D.D.S.

NPI #1831269158 in Macon, Missouri

Provider Information

NPI Number
1831269158
Entity Type
Individual
Name
DR. Matthew Theriac, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Nov 8, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
905 JACKSON ST
City
Macon
ZIP Code
63552-2016
Phone
(660) 385-3623

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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