Organization
MATARIA DENTAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED MATARIA DDS (OWNER)
(310) 465-0565
Entity
Organization
Contact information
Practice address
3610 LOMITA BLVD STE 202, TORRANCE, CA 90505-3919
(310) 465-0565
Mailing address
3610 LOMITA BLVD STE 202, TORRANCE, CA 90505-3919
(310) 465-0565
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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