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1700105806
NICHOLAS MATTILA
GREEN BAY, WI
NPI
1700105806
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 7014-15)
Enumeration Date
2010-05-28
Last Update Date
2013-06-25
Business Address
-- NICHOLAS MATTILA D.D.S.
1711 SHAWANO AVE
GREEN BAY, WI 54303-3215
Phone number: 920-494-9541
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Mailing Address
-- NICHOLAS MATTILA D.D.S.
1711 SHAWANO AVE
GREEN BAY, WI 54303-3215
Phone number: 920-494-9541
Copy
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