Individual
MICHAEL MATKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
145 BRINTON LAKE ROAD, GLEN MILLS, PA 19342
(610) 459-9963
Mailing address
145 BRINTON LAKE ROAD, GLEN MILLS, PA 19342
(610) 459-9963
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS018573-L
PA
Other
Enumeration date
12/14/2006
Last updated
12/10/2007
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