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Organization
MATIAN DDS INC
Active
Organization
MATIAN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN MATIAN DDS (PRESIDENT / DENTIST)
(818) 345-5556
Entity
Organization
Contact information
Practice address
18701 SHERMAN WAY, SUITE 3, RESEDA, CA 91335-4045
(818) 345-5556
Mailing address
18701 SHERMAN WAY, SUITE 3, RESEDA, CA 91335-4045
(818) 345-5556
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
57773
CA
Other
Enumeration date
03/16/2009
Last updated
04/24/2013
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