Individual
DR. CHRISTIAN EDWARD MATHIESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
154 WEST AVE, SARATOGA SPRINGS, NY 12866-5902
(518) 587-8442
(518) 587-8472
Mailing address
154 WEST AVENUE, SARATOGA SPRINGS, NY 12866-5902
(518) 587-8442
(518) 587-8472
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
032938
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497758486
—
NY
Enumeration date
05/23/2005
Last updated
07/14/2015
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