Individual
DR. MICHAEL DAVID MATTHIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3844 KENNETT PIKE STE 206, GREENVILLE, DE 19807-2305
(302) 575-0100
(302) 575-1933
Mailing address
3844 KENNETT PIKE, SUITE 206, GREENVILLE, DE 19807-2305
(302) 575-0100
(302) 575-1933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1143
DE
122300000X
Dentist
Primary
28796
PA
122300000X
Dentist
DS028796L
PA
122300000X
Dentist
G10001143
DE
Other
Enumeration date
11/28/2006
Last updated
08/03/2009
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