Charles Kenneth Dematte, DDS Valid NPI
Individual provider · General Practice Dentistry · Bridgeport, OH
- NPI
- 1578601498
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 15334 (OH)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-02-02
- Last updated
- 2007-07-08
Practice location
334 Main Street
Bridgeport, OH 43912
(740) 635-2567