Individual
DR. KENT M MATTISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2381 MAIN ST E STE B, SNELLVILLE, GA 30078-3358
(770) 972-4666
Mailing address
2381 MAIN ST E STE B, SNELLVILLE, GA 30078-3358
(770) 972-4666
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN008284
GA
Other
Enumeration date
07/15/2006
Last updated
07/08/2007
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