Individual
DR. MATTHEW HOUTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2505 N MAYFAIR RD STE 103, WAUWATOSA, WI 53226
(715) 571-1669
Mailing address
2505 N MAYFAIR RD STE 103, WAUWATOSA, WI 53226-1404
(715) 571-1669
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001087-15
WI
Other
Enumeration date
06/01/2015
Last updated
07/25/2018
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