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Individual

DR. MATTHEW JAMES MADSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D, M.D.

Contact information

Practice address
839 E GRAND AVE, ESCONDIDO, CA 92025-3401
(859) 806-3925
Mailing address
839 E GRAND AVE, ESCONDIDO, CA 92025-3401
(859) 806-3925

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
62546
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8480
KY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
A125274
CA

Other

Enumeration date
05/31/2007
Last updated
08/28/2013
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