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Individual
DR. DONALD R DEMATTEIS
Active
Individual
DR. DONALD R DEMATTEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00003923
WA
126800000X
Dental Assistant
DE00003923
WA
Other
Enumeration date
10/08/2009
Last updated
12/19/2009
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