DR. Brian L Mattiacio, D.D.S., M.S.
NPI #1922129261 in Farmington, New York
Provider Information
- NPI Number
- 1922129261
- Entity Type
- Individual
- Name
- DR. Brian L Mattiacio, D.D.S., M.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Credential
- D.D.S., M.S.
- Enumeration Date
- Apr 3, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1386 HATHAWAY DR
- City
- Farmington
- State
- New York
- ZIP Code
- 14425-8973
- Phone
- (585) 742-1050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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