JEFFREY RAY MATTILA

GRANTS, NM
NPI1891910378
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: NM  DD1754)
Enumeration Date2007-04-17
Last Update Date2007-07-08
Business Address
Dr. JEFFREY RAY MATTILA D.D.S.
200 LINCOLN AVE
GRANTS, NM 87020-2828
Phone number: 505-287-2000
Mailing Address
Dr. JEFFREY RAY MATTILA D.D.S.
200 LINCOLN AVE
GRANTS, NM 87020-2828
Phone number: 505-287-2000
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