Individual
DR. KATRINA CHAUNDANI MATTISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
322 MAIN ST, PROSPECT HILL, NC 27314-9438
(336) 562-3123
Mailing address
415 TIGHFIELD DRIVE, MEBANE, NC 27302
(919) 563-1453
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
8099
NC
Other
Enumeration date
12/11/2006
Last updated
05/07/2013
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