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Dr. Janellen G Matyas, DDS

Dentist, General Practice in New London, CT. Individual provider (NPI-1).

NPI number1104945708
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1104945708
Entity type
Individual (NPI-1)
Name
Dr. Janellen G Matyas
Credential
DDS
Sex
Female
Sole proprietor
No
Enumeration date
Mar 28, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice6895CTYes

Practice location

4 Shaws Cv Ste 202
New London, CT 06320-4956

Phone 860-443-4199 · Fax 860-444-6145

Mailing address

4 Shaws Cv Ste 202
New London, CT 06320-4956

Phone 860-443-4199 · Fax 860-444-6145

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