NPI 1134323066

John V Mateskon, LD

Practitioner Denturist Bozeman, MT

Practice location

Address: 2149 Durston Rd Unit 32, Bozeman, MT 59718-2805
Phone: (406) 586-6569

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence 10 (MT)

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Registry record

NPI: 1134323066
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jun 2007
Record last updated: 21 Mar 2011

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.