Individual
DR. JENNIFER BLUME MATELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
22 MONTGOMERY VILLAGE AVE, GAITHERSBURG, MD 20879-3582
(301) 948-3111
(301) 948-8674
Mailing address
3946 LEGATION ST NW, WASHINGTON, DC 20015-2916
(202) 680-0030
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13048
MD
Other
Enumeration date
05/31/2005
Last updated
07/08/2007
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