Individual
DR. JOSE F MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2515 COUNTRYSIDE BLVD, SUITE A, CLEARWATER, FL 33763-1603
(727) 726-8166
(727) 726-8268
Mailing address
2515 COUNTRYSIDE BLVD, SUITE A, CLEARWATER, FL 33763-1603
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN12922
FL
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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