Individual
DR. DANIEL AARON MATATIAHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8205 SANTA MONICA BLVD STE 12, W HOLLYWOOD, CA 90046-5963
(323) 654-1100
Mailing address
8205 SANTA MONICA BLVD STE 12, WEST HOLLYWOOD, CA 90046-5963
(323) 654-1100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
102029
CA
Other
Enumeration date
10/13/2017
Last updated
02/05/2025
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