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Individual

DR. SCOTT ALLEN MATZENBACHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.,M.S.

Contact information

Practice address
USA DENTAL ACTIVITY, 2776 RINGGOLD RD, FORT SILL, OK 73503
(580) 442-3905
(580) 442-4002
Mailing address
USA DENTAL ACTIVITY, 2776 RINGGOLD RD, FORT SILL, OK 73503
(580) 442-3905
(580) 442-4002

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
7192
KS

Other

Enumeration date
12/03/2005
Last updated
05/28/2010
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