Individual
DR. MATTHEW B SHULDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
181 N 1200 E, LEHI, UT 84043-2224
(801) 766-3600
Mailing address
PO BOX 356, AMERICAN FORK, UT 84003-0356
(623) 696-9815
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
60379
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8440385-9921
UT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
D7279
AZ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
D9240
OR
Other
Enumeration date
07/12/2007
Last updated
09/04/2013
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