| R. Mark Mathias, Dds Pa | |
|
158 Mcgregor Rd. Deland FL 32720-3200 | |
| (386) 736-7121 | |
| (386) 736-7971 |
| Full Name | R. Mark Mathias, Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 158 Mcgregor Rd., Deland, Florida |
| Authorized Official Name and Position | Ronald Mark Mathias (PRESIDENT) |
| Authorized Official Contact | 3867367121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R. Mark Mathias, Dds Pa 158 Mcgregor Rd. Deland FL 32720-3200 Ph: (386) 736-7121 | R. Mark Mathias, Dds Pa 158 Mcgregor Rd. Deland FL 32720-3200 Ph: (386) 736-7121 |
| NPI Number | 1861559056 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 12/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861559056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN14336 (Florida) | Primary |
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