Individual
DR. DEBRA JOANNE MATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
388 YPAO RD, TAMUNING, GU 96913-3701
(671) 646-8881
Mailing address
388 YPAO RD, TAMUNING, GU 96913-3701
(671) 646-8881
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
56239
CA
122300000X
Dentist
D-1011
GU
Other
Enumeration date
12/21/2007
Last updated
09/09/2008
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