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Organization

DEMATTHEW DENTAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MICHELLE LYNN DEMATTHEW DDS (OWNER/DENTIST)
(608) 846-5407
Entity
Organization

Contact information

Practice address
6729 LAKE RD, WINDSOR, WI 53598-9701
(608) 846-5407
(608) 846-3493
Mailing address
6729 LAKE RD, WINDSOR, WI 53598-9701
(608) 846-5407
(608) 846-3493

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
10/24/2025
Last updated
10/24/2025
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