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Individual

DR. MATTHEW MATTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
60 SIMPSON PKWY, CHENEY, WA 99004-2031
(509) 235-2900
Mailing address
60 SIMPSON PKWY, CHENEY, WA 99004-2031

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60757878
WA
1223G0001X
General Practice Dentistry
60757878
WA

Other

Enumeration date
06/08/2017
Last updated
06/08/2017
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