Organization
PDA ORTHO SPECIALTY
Active
Other names
Lewis Orthodontics, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW MATTA (OWNER)
(724) 698-2500
Entity
Organization
Contact information
Practice address
13022 PEARL RD STE 23, STRONGSVILLE, OH 44136-3442
(440) 238-0770
Mailing address
11 S MILL ST STE 200, NEW CASTLE, PA 16101-3680
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/31/2017
Last updated
05/31/2017
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