Individual
DR. MATTHEW LEO MOLITOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1759 OAK AVE, DAVIS, CA 95616-1004
(530) 758-6420
(530) 758-3856
Mailing address
1759 OAK AVE, DAVIS, CA 95616-1004
(530) 758-6420
(530) 758-3856
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
41653
CA
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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