Organization
DR. RICHARD U. MATTSON D.M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD U. MATTSON (PRESIDENT)
(301) 924-2405
Entity
Organization
Contact information
Practice address
3412 N HIGH ST, OLNEY, MD 20832-2202
(301) 924-2405
(301) 774-4167
Mailing address
PO BOX 250, OLNEY, MD 20830-0250
(301) 924-2405
(301) 774-4167
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7442
MD
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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