Individual
DR. HEATHER NICOLE MATEJKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6226 14TH AVE, KENOSHA, WI 53143-4413
(815) 861-2354
Mailing address
3909 FARMINGTON LN, JOHNSBURG, IL 60051-5175
(815) 861-2354
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1002180
WI
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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