Individual
MATTHEW RADWANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8851 N 56TH ST, TEMPLE TERRACE, FL 33617-6203
(813) 381-5628
(813) 989-1780
Mailing address
600 TECHNOLOGY PARK STE 101, LAKE MARY, FL 32746-7122
(407) 543-8514
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN29533
FL
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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