Individual
DR. ANIL MATHEN MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
7780 BRIER CREEK PARKWAY, SUITE 220, RALEIGH, NC 27617-7316
(919) 786-7443
Mailing address
12309 RICHMOND RUN DR, RALEIGH, NC 27614-6413
(919) 562-8679
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
044786
NY
1223G0001X
General Practice Dentistry
22DI01862900
NJ
1223G0001X
General Practice Dentistry
Primary
7742
NC
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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