Individual
JOSHUA D MATIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HN
Contact information
Practice address
1175 HART ST, YUMA, AZ 85369
(928) 269-7130
Mailing address
1ST DNBN ATTN: CREDENTIALS BOX 555221, CAMP PENDLETON, CA 92055
(210) 846-8377
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HN
USN
AZ
Enumeration date
12/21/2020
Last updated
12/21/2020
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