Individual
DR. ROBERT JOHN MATTERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
999 MANCHESTER AVE, WABASH, IN 46992
(260) 563-8329
Mailing address
BOX 463, WABASH, IN 46992
(260) 463-8329
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008752A
IN
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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