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Organization
ROBERT MATIASEVICH JR DDS INC
Active
Organization
ROBERT MATIASEVICH JR DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT N MATIASEVICH DDS (DENTIST)
(831) 476-7272
Entity
Organization
Contact information
Practice address
1775 DOMINICAN WAY, SANTA CRUZ, CA 95065
(831) 476-7272
(831) 476-1446
Mailing address
1775 DOMINICAN WAY, SANTA CRUZ, CA 95065
(831) 476-7272
(831) 476-1446
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21480
CA
Other
Enumeration date
02/05/2007
Last updated
02/17/2017
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