Individual
MELODY A DEMATTEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 SEYMOUR ST, BLOSSBURG, PA 16912-1418
(570) 638-2174
Mailing address
40 W WELLSBORO ST, MANSFIELD, PA 16933-1411
(570) 662-1945
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS044674
PA
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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