Organization
MICHAEL W. MATHEWSON, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WARNE MATHEWSON D.D.S. (PRESIDENT)
(815) 284-2749
Entity
Organization
Contact information
Practice address
215 E 2ND ST, DIXON, IL 61021-3118
(815) 284-2749
Mailing address
215 E 2ND ST, DIXON, IL 61021-3118
(815) 284-2749
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-017139
IL
Other
Enumeration date
11/16/2006
Last updated
05/12/2015
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