Individual
DR. LIZA K. MATHIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
642 HARRISON STREET, PORT TOWNSEND, WA 98368
(360) 385-4700
Mailing address
642 HARRISON STREET, PORT TOWNSEND, WA 98368
(360) 385-4700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE 60387816
WA
1223G0001X
General Practice Dentistry
D-4507
ID
Other
Enumeration date
07/08/2013
Last updated
10/28/2020
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