Individual
DR. DANIEL MATTI SARYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MPH
Contact information
Practice address
403 E STATE ST, TRAVERSE CITY, MI 49686-5805
(231) 947-7250
(231) 947-1506
Mailing address
403 E STATE ST, TRAVERSE CITY, MI 49686-5805
(231) 947-7250
(231) 947-1506
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901017220
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4912715
MI DEPT. COMMUNITY HEALTH
MI
01
—
974861
UNITED CONCORDIA ID
MI
01
—
D172200
BLUE CROSS BS ID#
MI
Enumeration date
12/20/2006
Last updated
07/08/2007
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