Michael Matkov

NPI #1861554065 in Glen Mills, Pennsylvania

Provider Information

NPI Number: 1861554065
Entity Type: Individual
Name: Michael Matkov
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 14, 2006
Last Updated: Dec 10, 2007

Practice Location

Address: 145 BRINTON LAKE ROAD
City: Glen Mills
State: Pennsylvania
ZIP Code: 19342
Phone: (610) 459-9963

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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