| NPI | 1568579431 |
|---|---|
| Other Name | JANE ANN MATELSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: WI 19231) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2007-07-08 |