Jeffrey Ray Mattila, D D S, PC
Jeffrey Ray Mattila, D D S, PC is a General Practice Dentistry in Grants, New Mexico. Licensed in New Mexico. Registered with an NPI since 2007.
- Licensed in
- NM
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
200 Lincoln AveGrants, NM 87020-2828
Phone: (505) 287-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence DD1754 (NM) |
|---|
Record details
| NPI number | 1548486079 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeffrey Mattila — President · (505) 287-2000 |
| Other names | Southwest Dental |
| NPI enumerated | April 17, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 200 Lincoln Ave, Grants, NM 87020-2828 |
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