Organization
MICHAEL R MATSON DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYN JEAN EVERETT (OFFICE MANAGER)
(209) 823-9346
Entity
Organization
Contact information
Practice address
1509 W YOSEMITE AVE STE B, MANTECA, CA 95337-5165
(209) 832-9346
Mailing address
1509 W YOSEMITE AVE STE B, MANTECA, CA 95337-5165
(209) 832-9346
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
23538
CA
Other
Enumeration date
07/31/2009
Last updated
07/31/2009
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