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1073770608
MATTHEW SCOTT DETAR
MANASSAS, VA
NPI
1073770608
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223E0200X Dentist, Endodontics
(Licence: VA 0401411877)
Enumeration Date
2008-05-21
Last Update Date
2018-10-01
Business Address
Dr. MATTHEW SCOTT DETAR D.D.S.
10682 CRESTWOOD DR STE C
MANASSAS, VA 20109-4401
Phone number: 703-368-8120
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Mailing Address
Dr. MATTHEW SCOTT DETAR D.D.S.
10682 CRESTWOOD DR STE C
MANASSAS, VA 20109-4401
Phone number: 703-368-8120
Copy
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