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Individual
DR. MEHDI B MATIN
Active
Individual
DR. MEHDI B MATIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DR 60288665
WA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DDS60860
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DR60288665
WA
390200000X
Student in an Organized Health Care Education/Training Program
12011690A
IN
Other
Enumeration date
06/30/2010
Last updated
05/10/2023
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