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Organization
BARRY R. MATHESON, DDS, MSD PC
Active
Organization
BARRY R. MATHESON, DDS, MSD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY ROBERT MATHESON D.D.S., M.S.D. (PRESIDENT)
(276) 669-1231
Entity
Organization
Contact information
Practice address
817 GATE CITY HIGHWAY, BRISTOL, VA 24201
(276) 669-1231
(276) 466-6872
Mailing address
817 GATE CITY HIGHWAY, BRISTOL, VA 24201
(276) 669-1231
(276) 466-6872
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401006603
VA
1223P0300X
Periodontics
14875
TX
1223P0300X
Periodontics
DS0000005057
TN
Other
Enumeration date
04/19/2007
Last updated
08/01/2007
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