Individual
DR. KEITH S MATTINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1172 E 100 N, SUITE # 3, PAYSON, UT 84651-1667
(801) 465-5000
Mailing address
1172 E 100 N, SUITE # 3, PAYSON, UT 84651-1667
(801) 465-5000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1449899922
UT
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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