Mattison Donaldson, DDS
Dentist, Endodontics in San Bernardino, CA. Individual provider (NPI-1).
NPI number1962018945
StatusActive
Last updated in NPPESJul 29, 2024
Details
- NPI
- 1962018945
- Entity type
- Individual (NPI-1)
- Name
- Mattison Donaldson
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2020
- Certification date
- Jul 29, 2024
- Last updated
- Jul 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223E0200X | Dentist, Endodontics | 105501 | CA | Yes |
| 122300000X | Dentist | 105501 | CA |
Practice location
362 E Vanderbilt WaySan Bernardino, CA 92408-3593
Phone 909-384-1111
Mailing address
44100 Jefferson St Ste 404Indio, CA 92201-9014
Phone 760-772-0214
Other practice locations
770 Magnolia Ave # J
Corona, CA 92879-3120
Corona, CA 92879-3120
Phone 951-736-0603
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All 9 Endodontics providers in San Bernardino · All 7,202 providers in San Bernardino
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