Individual
BENJAMIN MATHEAU CONTRATTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
116 COFFEE ST E, TALLADEGA, AL 35160-2402
(256) 362-8511
Mailing address
5735 BLANFORD ST, IRONDALE, AL 35210-3404
(205) 305-1703
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5779
AL
Other
Enumeration date
07/08/2010
Last updated
07/18/2012
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