Organization
MILLBURY FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M MATSON DMD (DENTIST)
(508) 865-2622
Entity
Organization
Contact information
Practice address
116 MAIN ST., MILLBURY, MA 01527-2021
(508) 865-2622
(508) 865-1676
Mailing address
116 MAIN ST., MILLBURY, MA 01527-2021
(508) 865-2622
(508) 865-1676
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN15100
MA
122300000X
Dentist
DN1855061
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110010202A
—
MA
Enumeration date
09/02/2011
Last updated
09/02/2011
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