NPI | 1114679750 |
---|---|
Doing Business As | MATTEUCCI FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | MATTHEW MATTEUCCI President 702-365-6499 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-01-25 |
Last Update Date | 2022-01-25 |