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Individual

DR. MATTHEW ADAM DEFELICE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
5315 E HIGH ST, SUITE 119, PHOENIX, AZ 85054-5438
(480) 563-3960
(480) 563-3965
Mailing address
5315 E HIGH ST, SUITE 119, PHOENIX, AZ 85054-5438
(480) 563-3960

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5196
AZ

Other

Enumeration date
06/28/2005
Last updated
02/27/2017
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