Matthew Timothy Swanson D.D.S

NPI 1083805501 - Dentist - 122300000X

NPI Details
NPI 1083805501
Gender Male
Enumeration Date 08/08/2007
Last Updated 08/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
307 BOATNER RD
SUITE 114
EGLIN AFB FL, 32542-1391, US
Phone (850) 883-8782
Fax
Business Location
307 BOATNER RD
SUITE 114
EGLIN AFB FL, 32542-1391, US
Phone
Fax
Toxanomy
Taxonomy Code 122300000X
License State Minnesota
License Number D12389
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According to our database, Dr. Matthew Timothy Swanson D.D.S NPI is 1083805501, taxonomy code is 122300000X and license number is D12389, license state is located at Minnesota. Matthew Timothy Swanson D.D.S physically located at 307 Boatner Rd, Eglin Afb FL, 32542-1391. NPI Number Matthew Timothy Swanson D.D.S has the Individual type.

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1083805501 NPI number is provided on an as is basis without warranty of any kind. 1083805501 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Timothy Swanson D.D.S are for informational purposes only.