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Organization
R. MARK MATHIAS, DDS PA
Active
Organization
R. MARK MATHIAS, DDS PA
Active
Other names
DeLand Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD MARK MATHIAS DDS (PRESIDENT)
(386) 736-7121
Entity
Organization
Contact information
Practice address
158 MCGREGOR RD., DELAND, FL 32720-3200
(386) 736-7121
(386) 736-7971
Mailing address
158 MCGREGOR RD., DELAND, FL 32720-3200
(386) 736-7121
(386) 736-7971
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN14336
FL
Other
Enumeration date
01/03/2007
Last updated
12/13/2013
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