Doctor Name: | YOON-MI MATRACIA |
NPI Number: | 1003011123 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DMD |
License Number: | 30022533 |
Business Practice Address: | 100 N High St Suite D Dublin, OH - 430172155 |
Business Phone Number: | 6147613361 |
Business Fax Number: | 6147613398 |
Mailing Address: | 5003 Aspen Pine Blvd, DUBLIN |
State: | OH |
Postal Code: | 430169335 |
Phone Number: | 3109025927 |
Fax Number: | 6147613398 |
NPI Enumeration Date: | 06/19/2007 |
NPI Last Update Date: | 02/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 30022533 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |