Individual provider · Type 1 NPI

Mattie Elizabeth Eddleman

General Practice Dentistry · Moore, OK

NPI number 1083346241 Active

About NPI 1083346241

Mattie Elizabeth Eddleman's National Provider Identifier is 1083346241, issued on Jun 27, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Moore, OK. The record was last updated on Jun 27, 2022.