Kattadiyil, Mathew Thomas

Kattadiyil, Mathew Thomas is an individual health care provider with primary practice located at 11092 Anderson Street , Loma Linda CA 92354. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Kattadiyil, Mathew Thomas can be contacted via phone (909) 554-4613.

Contact Information

Primary practice address
11092 Anderson Street Loma Linda CA 92354
Phone: (909) 554-4613
Fax: (909) 558-4192
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X 45275 California

Profile Details

NPI number 1962627315
LBN Legal business name Kattadiyil, Mathew Thomas
Credentials BDS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962627315 NPPES
California Other 45275 STATE LICENSE

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