Individual
SCOTT MATEER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
100 CLARK AVE, MASSAPEQUA, NY 11758-4950
(516) 541-9396
Mailing address
70 CLARK AVE, MASSAPEQUA, NY 11758-4921
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
054930
NY
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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