Individual
DR. DEANNA LEE MATHISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1301 E US HIGHWAY 83, MCALLEN, TX 78501-8818
(956) 994-0349
Mailing address
3301 N K CTR, APT F103, MCALLEN, TX 78501-1528
(702) 533-7122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25294
TX
Other
Enumeration date
04/24/2010
Last updated
04/24/2010
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