NPI | 1457031437 |
---|---|
Doing Business As | JAMES MATTINGLY DDS |
Entity Type | Organization |
Authorized Contact | JADGEV HEIR CEO/President 518-441-5483 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2023-07-24 |
Last Update Date | 2023-07-24 |