Individual
DEBORAH FREDDA MATZNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
22 ELKLAND RD, MELVILLE, NY 11747-3302
(631) 243-1438
Mailing address
22 ELKLAND RD, MELVILLE, NY 11747-3302
(631) 243-1438
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
035364
NY
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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