DR. Jeffrey Ray Mattila, D.D.S.

NPI #1891910378 in Grants, New Mexico

Provider Information

NPI Number: 1891910378
Entity Type: Individual
Name: DR. Jeffrey Ray Mattila, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Apr 17, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 200 LINCOLN AVE
City: Grants
State: New Mexico
ZIP Code: 87020-2828
Phone: (505) 287-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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