Individual
DR. ROBERT MATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
910 KATHERINE AVE, ASHLAND, OH 44805-3692
(419) 289-3325
Mailing address
910 KATHERINE AVE, P.O. BOX 386, ASHLAND, OH 44805-3692
(419) 289-3325
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
OHIO 012271
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006460
—
OH
01
—
340970370-00
BUREAU OF WORKERS COMP
OH
Enumeration date
01/29/2007
Last updated
07/09/2007
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