| Andrew W Mattson Dds Llc | |
|
55 Roche Way Boardman OH 44512-6214 | |
| (330) 758-0536 | |
| (330) 758-0854 |
| Full Name | Andrew W Mattson Dds Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 55 Roche Way, Boardman, Ohio |
| Authorized Official Name and Position | Andrew W. Mattson (SOLE PROPRIETOR) |
| Authorized Official Contact | 3307580536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew W Mattson Dds Llc 55 Roche Way Boardman OH 44512-6214 Ph: (330) 758-0536 | Andrew W Mattson Dds Llc 55 Roche Way Boardman OH 44512-6214 Ph: (330) 758-0536 |
| NPI Number | 1205380888 |
|---|---|
| Provider Enumeration Date | 08/11/2016 |
| Last Update Date | 08/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205380888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30024504 (Ohio) | Primary |
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