Xavier Andres Mata D.M.D., M.S.

NPI 1376799445 - Dentist - 1223P0300X

NPI Details
NPI 1376799445
Gender Male
Enumeration Date 08/08/2008
Last Updated 11/11/2010
Entity Type Individual
Active Over 8 years ago
Practice Location
9515 DEERECO RD
SUITE 308
LUTHERVILLE TIMONIUM MD, 21093-2116, US
Phone (410) 252-0871
Fax
Business Location
707 YORK RD
UNIT 2116
TOWSON MD, 21204-2546, US
Phone (856) 904-2862
Fax
Toxanomy
Taxonomy Code 1223P0300X
License State Arizona
License Number 8075
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According to our database, Dr. Xavier Andres Mata D.M.D., M.S. NPI is 1376799445, taxonomy code is 1223P0300X and license number is 8075, license state is located at Arizona. Xavier Andres Mata D.M.D., M.S. physically located at 9515 Deereco Rd, Lutherville Timonium MD, 21093-2116. NPI Number Xavier Andres Mata D.M.D., M.S. has the Individual type.

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1376799445 NPI number is provided on an as is basis without warranty of any kind. 1376799445 is maintained by the National Plan & Provider Enumeration System. The contents of Xavier Andres Mata D.M.D., M.S. are for informational purposes only.