Individual
DR. BRUCE ALLAN MATIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
1121 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5211
(317) 278-1099
(317) 278-4900
Mailing address
7141 CREEKWOOD EST, BROWNSBURG, IN 46112-8425
(317) 852-2139
(317) 852-3162
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009604A
IN
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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