Organization
ANDREW W MATTSON DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW W. MATTSON D.D.S. (SOLE PROPRIETOR)
(330) 758-0536
Entity
Organization
Contact information
Practice address
55 ROCHE WAY, BOARDMAN, OH 44512-6214
(330) 758-0536
(330) 758-0854
Mailing address
55 ROCHE WAY, BOARDMAN, OH 44512-6214
(330) 758-0536
(330) 758-0854
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30024504
OH
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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