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1790016434
MATIS DERMATOLOGY, PC
SALT LAKE CITY, UT
NPI
1790016434
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Entity Type
Organization
Authorized Contact
WENDY MATIS
Dermatologist
801-521-0100
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: UT 185450-1205)
Enumeration Date
2010-01-20
Last Update Date
2010-01-20
Business Address
MATIS DERMATOLOGY, PC
710 E 200 S
SALT LAKE CITY, UT 84102-2265
Phone number: 801-521-0100
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Mailing Address
MATIS DERMATOLOGY, PC
PO BOX 9697
SALT LAKE CITY, UT 84109-9697
Phone number: 801-521-0100
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