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Organization

MATIAN DDS INC

Active
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Organization

MATIAN DDS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHAWN MATIAN DDS (PRESIDENT)
(818) 345-2227
Entity
Organization

Contact information

Practice address
18701 SHERMAN WAY, SUITE 3, RESEDA, CA 91335-4045
(818) 345-5556
Mailing address
18701 SHERMAN WAY, SUITE 3, RESEDA, CA 91335-4045

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
57773
CA

Other

Enumeration date
04/24/2013
Last updated
04/24/2013
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