Individual
DAVID RODNEY MATTHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
60 LAGOON POND RD, VINEYARD HAVEN, MA 02568-5511
(508) 693-5068
Mailing address
PO BOX 1349, VINEYARD HAVEN, MA 02568-0905
(508) 693-5068
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN20741
MA
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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