Individual
MATTHEW GHIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
CMR 402, LANDSTUHL DENTAL ACTIVITY CREDENTIALS DEPARTMENT, APO AE, NY 09180
(637) 192-9130
Mailing address
CMR 402, LANDSTUHL DENTAL ACTIVITY CREDENTIALS DEPARTMENT, APO AE, NY 09180
(637) 192-9130
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3489
WV
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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