Vanessa Ivelisse Matos DDS

NPI 1083950703 - Dentist - 1223G0001X

NPI Details
NPI 1083950703
Gender Female
Enumeration Date 12/27/2012
Last Updated 03/25/2014
Entity Type Individual
Active Over 3 years ago
Practice Location
405 MAIN ST
LANDISVILLE PA, 17538-1812, US
Phone (717) 898-7221
Fax
Business Location
2515 PAMPAS DR
YORK PA, 17404-6430, US
Phone (717) 764-8083
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Pennsylvania
License Number DS029521L
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According to our database, Dr. Vanessa Ivelisse Matos DDS NPI is 1083950703, taxonomy code is 1223G0001X and license number is DS029521L, license state is located at Pennsylvania. Vanessa Ivelisse Matos DDS physically located at 405 Main St, Landisville PA, 17538-1812. NPI Number Vanessa Ivelisse Matos DDS has the Individual type.

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1083950703 NPI number is provided on an as is basis without warranty of any kind. 1083950703 is maintained by the National Plan & Provider Enumeration System. The contents of Vanessa Ivelisse Matos DDS are for informational purposes only.