Individual
DR. MARK MATTHEW MATSUMOTO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5201 EDEN AVE, SUITE 120, EDINA, MN 55436-2316
(952) 746-0225
(952) 746-0225
Mailing address
5201 EDEN AVE, SUITE 120, EDINA, MN 55436-2316
(952) 746-0225
(952) 746-0225
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8902
MN
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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