Individual
MATTHEW ROBERTO PISCHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12440 MAGNOLIA AVE STE 200, MAGNOLIA SPRINGS, AL 36555-6434
(251) 965-1773
Mailing address
PO BOX 545, SILVERHILL, AL 36576-0545
(251) 213-1101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6544
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/08/2018
Last updated
07/19/2022
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