JEFFREY RAY MATTILA, D.D.S,P.C.
General Practice Dentistry · GRANTS, NM
Organization Active NPI 1548486079
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | ✓ | DD1754 | NM |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.