Individual
ANGELA MABEL MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
500 W WILLIAM CANNON DR, SUITE 438A, AUSTIN, TX 78745-5845
(512) 326-3473
(512) 326-5439
Mailing address
201 W 8TH ST, SUITE 810, PUEBLO, CO 81003-3038
(719) 562-4447
(719) 583-1801
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
26144
TX
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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