JAIME MATA

SANTA ANA, CA
NPI1780885616
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: CA  30612)
Enumeration Date2007-05-29
Last Update Date2007-07-08
Business Address
Dr. JAIME MATA DDS
3620 S BRISTOL ST STE.306
SANTA ANA, CA 92704-7300
Phone number: 714-556-5156
Mailing Address
Dr. JAIME MATA DDS
3620 S BRISTOL ST STE. 306
SANTA ANA, CA 92704-7300
Phone number: 714-556-5156
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