Individual
DR. JACQUELYN P MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
28451 N VISTANCIA BLVD, SUITE 101, PEORIA, AZ 85383-2090
(623) 218-6638
Mailing address
1008 E BRENTRUP DR, TEMPE, AZ 85283-4782
(480) 861-5338
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6966-15
WI
Other
Enumeration date
08/08/2012
Last updated
02/19/2015
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