Individual
ELIZABETH MURAYAMA CHAVEZ MATIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2280 W MASON ST, GREEN BAY, WI 54303-4707
(888) 988-4066
Mailing address
2050 E ALGONQUIN RD STE 610, SCHAUMBURG, IL 60173-4166
(888) 988-4066
(847) 496-4850
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002424
WI
1223G0001X
General Practice Dentistry
61494
KS
Other
Enumeration date
08/30/2017
Last updated
09/01/2020
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