Individual
DR. JAMES IRWIN MATIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MSD
Contact information
Practice address
1706 BEALL AVE, WOOSTER, OH 44691-2378
(330) 264-5851
(330) 264-5027
Mailing address
1706 BEALL AVE, WOOSTER, OH 44691-2378
(330) 264-5851
(330) 264-5027
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
30016314
OH
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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