Individual
DR. MATTHEW E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
N14W23755 STONE RIDGE DR STE 260, WAUKESHA, WI 53188-1684
(262) 523-0220
(262) 523-0390
Mailing address
N14W23755 STONE RIDGE DR STE 260, WAUKESHA, WI 53188-1684
(262) 523-0220
(262) 523-0390
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5854
WI
Other
Enumeration date
11/02/2006
Last updated
08/13/2009
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