Individual
DANNY SALEM MATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5965 VILLAGE WAY STE E206, SAN DIEGO, CA 92130-2475
(858) 900-3541
Mailing address
1508 N RIVERSIDE DR, ESPANOLA, NM 87532-2064
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
108913
CA
1223G0001X
General Practice Dentistry
Primary
DD5669
NM
Other
Enumeration date
07/17/2022
Last updated
09/29/2024
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