| James I Matia Dds Msd Inc | |
|
1706 Beall Ave Wooster OH 44691-2378 | |
| (330) 264-5851 | |
| (330) 264-5027 |
| Full Name | James I Matia Dds Msd Inc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1706 Beall Ave, Wooster, Ohio |
| Authorized Official Name and Position | James Irwin Matia (OWNER) |
| Authorized Official Contact | 3302645851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James I Matia Dds Msd Inc 1706 Beall Ave Wooster OH 44691-2378 Ph: (330) 264-5851 | James I Matia Dds Msd Inc 1706 Beall Ave Wooster OH 44691-2378 Ph: (330) 264-5851 |
| NPI Number | 1376611673 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 07/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376611673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 30016314 (Ohio) | Primary |
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