Individual
JONNATHAN MATUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
272 US HIGHWAY 46, ROCKAWAY, NJ 07866-3826
(973) 627-2121
Mailing address
345 VINE ST, ELIZABETH, NJ 07202-1817
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02808200
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2020
Last updated
08/30/2021
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