Individual
DR. MATTHEW C. LIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
255 WASHINGTON ST SE, GRAND RAPIDS, MI 49503-4350
(616) 451-2336
(616) 222-1345
Mailing address
255 WASHINGTON ST SE, GRAND RAPIDS, MI 49503-4350
(616) 451-2336
(616) 222-1345
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020272
MI
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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