Individual
DR. DONALD R DEMATTEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
32105 1ST AVE S., B-2, FEDERAL WAY, WA 98003
(253) 838-2884
Mailing address
32105 1ST AVE S, B-2, FEDERAL WAY, WA 98003
(253) 838-2884
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00003923
WA
126800000X
Dental Assistant
DE00003923
WA
Other
Enumeration date
10/08/2009
Last updated
12/19/2009
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