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Organization
GS MATOSIAN DENTAL CORP
Active
Organization
GS MATOSIAN DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE S MATOSIAN DDS (PRESIDENT)
(619) 460-6900
Entity
Organization
Contact information
Practice address
5565 GROSSMONT CENTER DR, SUITE 229, LA MESA, CA 91942
(619) 460-6900
(619) 460-6981
Mailing address
5565 GROSSMONT CENTER DR, SUITE 229, LA MESA, CA 91942
(619) 460-6900
(619) 460-6981
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24829
CA
Other
Enumeration date
10/27/2006
Last updated
02/10/2012
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