LAURIE MATIASEVICH

FAIRFIELD, CA
NPI1427139864
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223D0001X Dentist, Dental Public Health
(Licence: CA  D23013)
Enumeration Date2006-10-18
Last Update Date2007-07-08
Business Address
Dr. LAURIE MATIASEVICH DDS
2101 COURAGE DR
FAIRFIELD, CA 94533
Phone number: 707-784-2120
Mailing Address
Dr. LAURIE MATIASEVICH DDS
5139 LEONARDO CT.
FAIRFIELD, CA 94534
Phone number: 707-784-2120