Individual
MICHAEL C MATZKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1221
(203) 709-7055
(203) 709-7750
Mailing address
56 FRANKLIN ST, 3RD FLOOR, WATERBURY, CT 06706-1221
(203) 709-8873
(203) 709-8689
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
003502
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002035020
—
CT
Enumeration date
05/05/2006
Last updated
10/26/2011
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