Individual
DR. MATTHEW J CHARGING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
W3275 WOLF RIVER ROAD, KESHENA, WI 54135-0970
(715) 799-3960
Mailing address
W3275 WOLF RIVER ROAD, KESHENA, WI 54135-0970
(715) 799-3960
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001120-15
WI
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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