Organization
MATTHEW G. NOLL DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW NOLL DDS (PRESIDENT)
(623) 974-0321
Entity
Organization
Contact information
Practice address
9431 W THUNDERBIRD RD, PEORIA, AZ 85381-4237
(623) 974-0321
Mailing address
9431 W THUNDERBIRD RD, PEORIA, AZ 85381-4237
(623) 974-0321
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5420
AZ
Other
Enumeration date
10/20/2007
Last updated
10/20/2007
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