Individual
MATTHEW VUMBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
465 SILAS DEANE HWY, WETHERSFIELD, CT 06109-2134
(860) 347-4618
Mailing address
40 CRANDALL AVE, WESTERLY, RI 02891-5347
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13559
CT
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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