Individual
DR. MATTHEW B KRIEWALDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
0401413701
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
55521
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
6903-15
WI
Other
Enumeration date
01/10/2007
Last updated
08/05/2013
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