Individual
MATTHEW ALAN LANDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12605 JACKSON RUN RD, SUGAR GROVE, PA 16350-1635
(814) 489-7862
(814) 489-7862
Mailing address
PO BOX 597, SUGAR GROVE, PA 16350-0597
(814) 489-7862
(814) 489-7862
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS041387
PA
Other
Enumeration date
08/11/2017
Last updated
08/03/2021
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