Individual
DR. MATT A MCIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
706 E RIVER ST, ELYRIA, OH 44035-5918
(440) 322-7328
(440) 322-7328
Mailing address
706 E RIVER ST, ELYRIA, OH 44035-5918
(440) 322-7328
(440) 322-7328
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21425
OH
Other
Enumeration date
06/22/2006
Last updated
07/08/2007
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