Individual
ENRIQUE A MATABAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
65 MICHIGAN AVE NE, WASHINGTON, DC 20002-1011
(202) 483-0082
(202) 319-2832
Mailing address
65 MICHIGAN AVE NE, WASHINGTON, DC 20002-1011
(202) 483-0082
(202) 319-2832
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN1000713
DC
Other
Enumeration date
06/30/2010
Last updated
12/24/2013
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