Organization
CHRISTOPHER M MATHISON DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER MATHISON DDS (OWNER)
(218) 233-4267
Entity
Organization
Contact information
Practice address
1616 30TH AVE S, MOORHEAD, MN 56560-5152
(218) 223-4267
Mailing address
1616 30TH AVE S, MOORHEAD, MN 56560-5152
(218) 223-4267
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
03/06/2020
Last updated
10/24/2022
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