Individual
DR. JOHN CHRISTOPHER MATTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1452 HUDSON ST STE 200, LONGVIEW, WA 98632-3727
(360) 425-9090
Mailing address
PO BOX 6809, HILO, HI 96720-8934
(808) 937-4801
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60987782
WA
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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