Individual
DR. TREASA MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
45 NEWPORT AVE, QUINCY, MA 02171-2610
(617) 773-9902
Mailing address
106 COLONY PLACE RD, PLYMOUTH, MA 02360-7233
(508) 830-0411
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1855964
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN1855964
THE COMMONWEALTH OF MASSACHUSETTS HEALTH PROFESSIONS LICENSURE
MA
Enumeration date
05/31/2012
Last updated
02/22/2016
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