Individual
DR. DUANE ALAN MATHIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5847 BROADVIEW RD, PARMA, OH 44134-3102
(216) 749-6162
Mailing address
5847 BROADVIEW RD, PARMA, OH 44134-3102
(216) 749-6162
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-016454
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2647363
—
OH
Enumeration date
11/28/2006
Last updated
07/26/2008
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