Individual
DR. GARY LEE MATTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
113 LITCHFIELD AVE SE, WILLMAR, MN 56201-3628
(320) 235-9551
(320) 235-6786
Mailing address
113 LITCHFIELD AVE SE, WILLMAR, MN 56201-3628
(320) 235-9551
(320) 235-6786
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9083
MN
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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