Organization
DRS. MATIA & LEMKE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES IRWIN MATIA DDS, MSD (PARTNER)
(216) 570-8827
Entity
Organization
Contact information
Practice address
1706 BEALL AVE, WOOSTER, OH 44691-2378
(330) 264-5851
Mailing address
1706 BEALL AVE, WOOSTER, OH 44691-2378
(330) 264-5851
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083782387
OHIO STATE DENTAL BOARD
OH
01
—
1265720767
MATTHEW J. LEMKE, DDS, MS
OH
Enumeration date
08/26/2020
Last updated
09/01/2020
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