| James R. Mattingly, Dds | |
|
130 La Casa Via Suite 202 Walnut Creek CA 94598 | |
| (925) 933-5446 | |
| Not Available |
| Full Name | James R. Mattingly, Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 130 La Casa Via, Walnut Creek, California |
| Authorized Official Name and Position | Jadgev Heir (CEO/PRESIDENT) |
| Authorized Official Contact | 5184415483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James R. Mattingly, Dds 4170 Truxel Road Suite C Sacramento CA 95834 Ph: () - | James R. Mattingly, Dds 130 La Casa Via Suite 202 Walnut Creek CA 94598 Ph: (925) 933-5446 |
| NPI Number | 1457031437 |
|---|---|
| Provider Enumeration Date | 07/24/2023 |
| Last Update Date | 07/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457031437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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