James Frederick Mattson DDS

NPI 1093898215 - Dentist - 122300000X

NPI Details
NPI 1093898215
Gender Male
Enumeration Date 10/23/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
499 CHESTNUT ST
SUITE C
FORT BRAGG CA, 95437-4521, US
Phone (707) 964-5616
Fax (707) 964-5917
Business Location
PO BOX 429
FORT BRAGG CA, 95437-4521, US
Phone (707) 964-5616
Fax (707) 964-5917
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 27798
Remove 1093898215 NPI Number
 

According to our database, Dr. James Frederick Mattson DDS NPI is 1093898215, taxonomy code is 122300000X and license number is 27798, license state is located at California. James Frederick Mattson DDS physically located at 499 Chestnut St, Fort Bragg CA, 95437-4521. NPI Number James Frederick Mattson DDS has the Individual type.

Sponsored links

1093898215 NPI number is provided on an as is basis without warranty of any kind. 1093898215 is maintained by the National Plan & Provider Enumeration System. The contents of James Frederick Mattson DDS are for informational purposes only.