Individual
DR. MATTHEW ALLEN SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3714 HEATH RD FL 32277, JACKSONVILLE, FL 32277-2045
(904) 302-7552
Mailing address
1051 LAURISTON DRIVE, ST. JOHNS, FL 32259
(801) 718-8348
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN22952
FL
Other
Enumeration date
04/04/2012
Last updated
07/21/2022
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