Individual
MRS. DELOISE S MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
6540 CLINTON RD, STEDMAN, NC 28391-8846
(910) 483-3150
(910) 483-2845
Mailing address
PO BOX 368, STEDMAN, NC 28391-0368
(910) 483-3150
(910) 483-2845
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5535
NC
Other
Enumeration date
11/10/2009
Last updated
11/10/2009
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