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1073631156
MICHAEL DAVID MATTIACIO
SYRACUSE, NY
NPI
1073631156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 049454-1)
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL DAVID MATTIACIO D.D.S.
2946 ERIE BLVD E
SYRACUSE, NY 13224-1431
Phone number: 315-445-2678
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Mailing Address
Dr. MICHAEL DAVID MATTIACIO D.D.S.
2946 ERIE BLVD E
SYRACUSE, NY 13224-1431
Phone number: 315-445-2678
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