Organization
MATTA DENTAL CARE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJENDAR MATTA DMD (OWNER)
(515) 262-1923
Entity
Organization
Contact information
Practice address
2476 E EUCLID AVE, DES MOINES, IA 50317-3658
(515) 262-1923
Mailing address
14031 WILLOW DR, CLIVE, IA 50325-8317
(205) 617-7417
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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