Individual
ANNMARIE MATUSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3050 MACK RD, ML 6007, FAIRFIELD, OH 45014
(513) 636-6400
(513) 636-6452
Mailing address
3050 MACK RD., ML 6007, FAIRFIELD, OH 45014
(513) 636-6400
(513) 636-6452
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30.020318
OH
Other
Enumeration date
09/22/2006
Last updated
01/26/2015
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