Individual
CHRISTOPHER MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
508 AZALEA DR, OXFORD, MS 38655-8100
(662) 236-5858
Mailing address
508 AZALEA DR, OXFORD, MS 38655-8100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3051-98
MS
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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