Mattiacio, Brian L
Mattiacio, Brian L is an sole proprietor health care provider with primary practice located at 1386 Hathaway Dr , Farmington NY 14425-8973. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Mattiacio, Brian L can be contacted via phone (585) 742-1050.Contact Information
Primary practice address
1386 Hathaway Dr
Farmington NY 14425-8973
Phone: (585) 742-1050
Fax: (585) 742-1011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 051528 | New York |
Profile Details
| NPI number | 1922129261 |
|---|---|
| LBN Legal business name | Mattiacio, Brian L |
| Credentials | D.D.S., M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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