Individual
DR. LIBERTY J MATAIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
602 E NOB HILL BLVD, YAKIMA, WA 98901-3534
(509) 248-3334
(509) 453-6144
Mailing address
601 N KEYS RD, YAKIMA, WA 98901-1172
(509) 865-2395
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60156043
WA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DE60156043
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013229541
—
WA
Enumeration date
07/13/2010
Last updated
08/07/2023
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