Individual
MR. DONALD KENNETH MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LD DPD
Contact information
Practice address
404 E WISHKAH ST, ABERDEEN, WA 98520-4133
(360) 538-0060
Mailing address
404 E WISHKAH ST, ABERDEEN, WA 98520-4133
(360) 538-0060
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN00000135
WA
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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