Organization
MATHUE ORTHO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATHUE FAULKNER DDS MS (OWNER)
(801) 808-4756
Entity
Organization
Contact information
Practice address
6012 W WILLIAM CANNON DR STE D103, AUSTIN, TX 78749-1979
(801) 808-4756
Mailing address
10803 OAK VIEW DR, AUSTIN, TX 78759-7012
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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