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Organization
JAMES I MATIA DDS MSD INC
Active
Organization
JAMES I MATIA DDS MSD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES IRWIN MATIA DDS MSD (OWNER)
(330) 264-5851
Entity
Organization
Contact information
Practice address
1706 BEALL AVE, WOOSTER, OH 44691-2378
(330) 264-5851
(330) 264-5027
Mailing address
1706 BEALL AVE, WOOSTER, OH 44691-2378
(330) 264-5851
(330) 264-5027
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
30016314
OH
Other
Enumeration date
12/04/2006
Last updated
07/29/2008
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