Provider Demographics
NPI:1457527863
Name:AROCHO AND MATOS, DDS, PLLC
Entity Type:Organization
Organization Name:AROCHO AND MATOS, DDS, PLLC
Other - Org Name:A SMILE 4 U FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST / CO- OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NELLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:MATOS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:704-549-1199
Mailing Address - Street 1:9010 GLENWATER DR STE 108
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-8563
Mailing Address - Country:US
Mailing Address - Phone:704-549-1199
Mailing Address - Fax:704-549-1144
Practice Address - Street 1:9010 GLENWATER DR STE 108
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-8563
Practice Address - Country:US
Practice Address - Phone:704-549-1199
Practice Address - Fax:704-549-1144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-06
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty