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Organization
MICHAEL D. MATTIACIO D.D.S., P.C.
Active
Organization
MICHAEL D. MATTIACIO D.D.S., P.C.
Active
Other names
Quest Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DAVID MATTIACIO D.D.S. (OWNER)
(315) 445-2678
Entity
Organization
Contact information
Practice address
2946 ERIE BLVD E, SYRACUSE, NY 13224-1431
(315) 445-2678
Mailing address
2946 ERIE BLVD E, SYRACUSE, NY 13224-1431
(315) 445-2678
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/03/2007
Last updated
06/24/2008
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