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Organization
MATTA BOTROUS DDS INC
Active
Organization
MATTA BOTROUS DDS INC
Active
Other names
Talent Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTA JOSEPH MATTA BOTROUS DDS (PRESIDENT)
(714) 650-1661
Entity
Organization
Contact information
Practice address
10590 TOWN CENTER DR, SUITE # 180, RANCHO CUCAMONGA, CA 91730-0360
(714) 650-1661
Mailing address
10590 TOWN CENTER DR, SUITE # 180, RANCHO CUCAMONGA, CA 91730-0360
(714) 650-1661
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
62073
CA
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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