Individual
DR. MATTHEW DURSCHLAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., MS
Contact information
Practice address
239 LAUREL ST STE 201, SAN DIEGO, CA 92101-1473
(619) 291-5266
Mailing address
11921 CARMEL CREEK RD APT 109, SAN DIEGO, CA 92130-2566
(858) 248-7005
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
33658
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
60558
CA
Other
Enumeration date
08/05/2011
Last updated
03/17/2018
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