Individual
DR. RAJENDAR MATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
7409 UNIVERSITY BLVD, CORAOPOLIS, PA 15108-2592
(205) 617-7417
Mailing address
7409 UNIVERSITY BLVD, APT # D, CORAOPOLIS, PA 15108-2592
(205) 617-7417
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1855225
MA
122300000X
Dentist
DS040531
PA
Other
Enumeration date
07/21/2009
Last updated
01/11/2016
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