Irina V Matthews, DMD
Dentist in Sumterville, FL. Individual provider (NPI-1).
NPI number1891135331
StatusActive
Last updated in NPPESOct 19, 2018
Details
- NPI
- 1891135331
- Entity type
- Individual (NPI-1)
- Name
- Irina V Matthews
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2013
- Last updated
- Oct 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN20142 | FL | Yes |
Other names
- Irina V Ivanova (Former Name)
Practice location
1389 S Us 301Sumterville, FL 33585-5143
Phone 352-793-5900
Mailing address
1425 S Us 301Sumterville, FL 33585-5141
Phone 352-793-5900
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