Individual
DR. BRENTON JOSEPH MATULKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
575 FALLBROOK BLVD STE 107, LINCOLN, NE 68521-9040
(402) 467-0007
(402) 476-7873
Mailing address
575 FALLBROOK BLVD STE 107, LINCOLN, NE 68521-9040
(402) 467-0007
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7575
NE
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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