NPI 1013229541

Liberty J Mataia, DDS

Practitioner Dentist Yakima, WA

Practice location

Address: 602 E Nob Hill Blvd, Yakima, WA 98901-3534
Phone: (509) 248-3334
Fax: (509) 453-6144
Mailing address: 601 N Keys Rd, Yakima, WA 98901-1172

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DE60156043 (WA)

Other Dentist providers in Washington →

Orthodontics and Dentofacial Orthopedics Dentistry

Dental Providers Taxonomy 1223X0400X Licence DE60156043 (WA)

Registry record

NPI: 1013229541
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jul 2010
Record last updated: 7 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.