Individual
DEVIN T MATSUMORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
870 E 9400 S, SANDY, UT 84094-3666
(801) 571-8391
Mailing address
870 E 9400 S STE 110, SANDY, UT 84094-3689
(801) 571-8391
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7987460-9921
UT
1223G0001X
General Practice Dentistry
D008150
AZ
Other
Enumeration date
03/30/2011
Last updated
12/02/2014
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