Individual
DR. MATTHEW EMMETT GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1600 W CENTRAL ROAD, ARLINGTON HEIGHTS, IL 60005
(847) 392-6220
(847) 392-6236
Mailing address
1600 W CENTRAL ROAD, ARLINGTON HTS, IL 60005
(847) 392-6220
(847) 392-6236
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019025795
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
021002123
IL
Other
Enumeration date
02/01/2007
Last updated
10/05/2016
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