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NPI Code Detail

MEDICARE: DR. MATTHEW RICHARD MALEY DDS

MEDICARE: DR. MATTHEW RICHARD MALEY DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry30022123OH

General Provider Information

NPI Number : 1922105535
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW RICHARD MALEY DDS
Provider Business Mailing Address
First Line : 4352 SYLVANIA AVE SUITE Q
Second Line :
City : TOLEDO
State : OH
Zip : 43623-3441
Country : US
Telephone Number : 419-882-0622
Fax Number : 419-882-1701
Provider Business Practice Location Address
First Line : 4352 SYLVANIA AVE SUITE Q
Second Line :
City : TOLEDO
State : OH
Zip : 43623-3441
Country : US
Telephone Number : 419-882-0622
Fax Number : 419-882-1701
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2006
Last Update Date : 07/08/2007

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