Individual
TASHA TERESA MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDM
Contact information
Practice address
1331 STATE AVE, MARYSVILLE, WA 98270-3604
(360) 659-6774
Mailing address
21155 N 56TH ST APT 2021, PHOENIX, AZ 85054-5511
(661) 304-4630
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
70140021
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
Other
Enumeration date
05/18/2026
Last updated
07/13/2026
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