Individual
JAMES MATHUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3053 GODFREY RD, GODFREY, IL 62035-1808
(618) 466-4800
Mailing address
3053 GODFREY RD, GODFREY, IL 62035-1808
(618) 466-4800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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