Most Relevant Information
Provider Data
| NPI Number: | 1003173386 |
| Provider Name: | KATIA MATTOS D.M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223E0200X |
| Specialty: | Dentist |
| License Number: | 30612 |
Most Important Dates
| Enumeration Date: | 04/11/2012 |
| Last Updated: | 12/02/2021 |
Provider Practice Location
2905 SW 160TH AVE
MIRAMAR
FL
330274212
Practice Location Phone/Fax
| Phone: | 9543927051 |
| Fax: |
Provider Mailing Location
1010 BRICKELL AVE UNIT 4201
MIAMI
FL
331313790
Provider Mailing Phone/Fax
| Phone: | 7862082820 |
| Fax: |