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Search › California › 1223D0001X

Laurie Matiasevich, DDS

NPI 1427139864 · on the registry since 2006

Practice

Address
2101 Courage Dr
Fairfield, CA 94533
Phone
(707) 784-2120
Fax
(707) 784-2126
Organisation at this address
County Of Solano
County Of Solano
County Of Solano
County Of Solano
County Of Solano
Inferred from a shared address, not stated in the registry.
Clinicians at this address
419

Registry record

Primary taxonomy
1223D0001X
1223D0001X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California