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Individual
MATTHEW J. EATON
Active
Individual
MATTHEW J. EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2242
ND
1223G0001X
General Practice Dentistry
6552
WI
Other
Enumeration date
06/29/2010
Last updated
07/30/2015
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