Individual
DR. MATTHEW JOHN MAKUTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
617 CENTRE ST, FREELAND, PA 18224-1910
(570) 636-2500
Mailing address
617 CENTRE ST, FREELAND, PA 18224-1910
(570) 401-1201
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS037928
PA
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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