Individual
MATTHEW MIGDAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3440 E BASELINE RD STE 106, MESA, AZ 85204-7247
(480) 926-2350
Mailing address
17331 E CHESTNUT DR, QUEEN CREEK, AZ 85142-9912
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D011323
AZ
Other
Enumeration date
05/21/2022
Last updated
05/21/2022
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