Organization
JON MATTHES DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON MATTHES (PRESIDENT)
(719) 459-1761
Entity
Organization
Contact information
Practice address
7730 N UNION BLVD, SUITE 101, COLORADO SPRINGS, CO 80920-4084
(719) 536-0599
Mailing address
7730 N UNION BLVD, SUITE 101, COLORADO SPRINGS, CO 80920-4084
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8828
CO
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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