Individual
DR. PAUL MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
21 BAY STATE RD, BOSTON, MA 02215-2101
(617) 247-9966
(617) 266-0679
Mailing address
91 WESTLAND AVE APT 107, BOSTON, MA 02115-3826
(617) 923-7294
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20749
MA
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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