NPI | 1154544740 |
---|---|
Other Name | DWAIN E MATELSKI DDS PERIODONTIST |
Entity Type | Organization |
Authorized Contact | DWAIN EDWIN MATELSKI President 817-336-1166 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: TX 9930) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2020-08-22 |