Individual
IRINA V MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1389 S US 301, SUMTERVILLE, FL 33585-5143
(352) 793-5900
Mailing address
1425 S US 301, SUMTERVILLE, FL 33585-5141
(352) 793-5900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20142
FL
Other
Enumeration date
06/28/2013
Last updated
10/19/2018
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