Individual
DR. JOSHUA DALE MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4635 WOODMERE BLVD, MONTGOMERY, AL 36106-2900
(334) 239-2346
Mailing address
5431 E 109TH PL, TULSA, OK 74137-7280
(918) 852-4854
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6400
AL
Other
Enumeration date
06/06/2017
Last updated
06/06/2017
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