Individual
DR. MATTHEW R KOLESAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2311 M ST NW, SUITE 500, WASHINGTON, DC 20037-1445
(202) 296-3360
(202) 728-0294
Mailing address
2311 M ST NW, SUITE 500, WASHINGTON, DC 20037-1445
(202) 296-3360
(202) 728-0294
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DEN1000537
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DEN1000537
DC DENTAL LICENSE NUMBER
DC
Enumeration date
10/13/2006
Last updated
07/08/2007
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