Individual
DR. TIMOTHY MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
823 E COLONIAL AVE, MOSES LAKE, WA 98837-4611
(509) 765-7853
Mailing address
3143 STATE RD STE 201, LA CROSSE, WI 54601-6964
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1002647
WI
122300000X
Dentist
Primary
DE61404678
WA
Other
Enumeration date
07/16/2021
Last updated
07/24/2023
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