Individual
STEVEN MATIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
34800 BOB WILSON DR., NMCSD, SAN DIEGO, CA 92134
(619) 556-8191
Mailing address
2185 STATION VILLAGE WAY, APT. #2433, SAN DIEGO, CA 92108
(619) 683-9392
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
WY986
WY
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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