Individual
MATTISON DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
362 E VANDERBILT WAY, SAN BERNARDINO, CA 92408-3593
(909) 384-1111
Mailing address
44100 JEFFERSON ST STE 404, INDIO, CA 92201-9014
(760) 772-0214
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
105501
CA
1223E0200X
Endodontics
Primary
105501
CA
Other
Enumeration date
09/16/2020
Last updated
07/29/2024
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