| Michael R Matson Dds, Inc | |
|
1509 W Yosemite Ave Ste B Manteca CA 95337-5165 | |
| (209) 832-9346 | |
| Not Available |
| Full Name | Michael R Matson Dds, Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1509 W Yosemite Ave Ste B, Manteca, California |
| Authorized Official Name and Position | Marilyn Jean Everett (OFFICE MANAGER) |
| Authorized Official Contact | 2098239346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael R Matson Dds, Inc 1509 W Yosemite Ave Ste B Manteca CA 95337-5165 Ph: (209) 832-9346 | Michael R Matson Dds, Inc 1509 W Yosemite Ave Ste B Manteca CA 95337-5165 Ph: (209) 832-9346 |
| NPI Number | 1154552685 |
|---|---|
| Provider Enumeration Date | 07/31/2009 |
| Last Update Date | 07/31/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154552685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 23538 (California) | Primary |
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