MATTESON IMPLANT AND RECONSTRUCTIVE DENTISTRY PC.
Dentist - Prosthodontics
Active
Organization
NPI: 1679096523
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | No | D-4027 (ID) |
| Dentist - Prosthodontics | 1223P0700X | Yes | D-4027 (ID) |
Frequently Asked Questions
NPI 1679096523 is the National Provider Identifier for MATTESON IMPLANT AND RECONSTRUCTIVE DENTISTRY PC., a Dentist - Prosthodontics provider located in Coeur D Alene, ID. This NPI was enumerated on July 24, 2017.
Quick Facts
- NPI
- 1679096523
- Type
- Organization
- Enumerated
- Jul 24, 2017
- Last Updated
- Jul 21, 2022
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