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4460 Linden Ave Dayton OH 45432-3031 | |
| (937) 258-2225 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 4460 Linden Ave, Dayton, Ohio |
| Authorized Official Name and Position | Andrew Matta (OWNER) |
| Authorized Official Contact | 7246982500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11 S Mill St Suite 200 New Castle PA 16101-3613 Ph: (724) 698-2500 | 4460 Linden Ave Dayton OH 45432-3031 Ph: (937) 258-2225 |
| NPI Number | 1295273175 |
|---|---|
| Provider Enumeration Date | 02/10/2017 |
| Last Update Date | 02/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295273175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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