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Organization

ROBERT I. MATTICE, DDS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT MATTICE DDS (PRESIDENT)
(231) 723-2954
Entity
Organization

Contact information

Practice address
422 1ST ST, MANISTEE, MI 49660-1504
(231) 723-2954
(231) 723-3910
Mailing address
422 1ST ST, MANISTEE, MI 49660-1504
(231) 723-2954
(231) 723-3910

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8859
MI

Other

Enumeration date
01/03/2017
Last updated
01/03/2017
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