Individual
DR. LUIS A MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
175 TONEY PENNA DR, JUPITER, FL 33458-5755
(561) 745-2881
Mailing address
175 TONEY PENNA DR, JUPITER, FL 33458-5755
(561) 745-2881
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN 18887
FL
1223P0221X
Pediatric Dentistry
DN013733
GA
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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