Individual
DR. JOSEPH CLAIR MATTINGLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
957 E COMMERCIAL AVE, LOWELL, IN 46356-2307
(219) 696-0250
(219) 696-7099
Mailing address
957 E COMMERCIAL AVE, LOWELL, IN 46356-2307
(219) 696-0250
(219) 696-7099
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010630A
IN
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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