Individual
DR. MARTY J MATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15751 W DODGE RD, OMAHA, NE 68118-2536
(402) 397-8050
(402) 397-3566
Mailing address
15751 W DODGE RD, OMAHA, NE 68118-2536
(402) 397-8050
(402) 397-3566
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5582
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47077471200
—
NE
Enumeration date
03/22/2006
Last updated
12/14/2015
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