Provider Demographics
NPI:1528205598
Name:MATSHKALYAN, VERA (DDS)
Entity Type:Individual
Prefix:DR
First Name:VERA
Middle Name:
Last Name:MATSHKALYAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NH
Mailing Address - Zip Code:03848-9997
Mailing Address - Country:US
Mailing Address - Phone:603-347-1327
Mailing Address - Fax:603-952-3440
Practice Address - Street 1:53 CHURCH ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NH
Practice Address - Zip Code:03848-9997
Practice Address - Country:US
Practice Address - Phone:603-347-1327
Practice Address - Fax:603-952-3440
Is Sole Proprietor?:No
Enumeration Date:2009-01-13
Last Update Date:2014-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH038201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice