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1194020719
NICHOLAS RUDOLPH MATACK
DULUTH, MN
NPI
1194020719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MN D13811)
Enumeration Date
2011-01-12
Last Update Date
2017-12-20
Business Address
Dr. NICHOLAS RUDOLPH MATACK DDS
421 E 4TH ST
DULUTH, MN 55805-1935
Phone number: 218-727-1448
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Mailing Address
Dr. NICHOLAS RUDOLPH MATACK DDS
1415 MISSISSIPPI AVE
DULUTH, MN 55811
Phone number: 218-310-5902
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