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Individual

DR. KATIA MATTOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
2905 SW 160TH AVE, MIRAMAR, FL 33027-4212
(954) 392-7051
Mailing address
1010 BRICKELL AVE UNIT 4201, MIAMI, FL 33131-3790
(786) 208-2820

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
30612
TX
1223E0200X
Endodontics
Primary
DN19592
FL

Other

Enumeration date
04/11/2012
Last updated
12/02/2021
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