Individual
DR. JOSHUA DEV MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MPH
Contact information
Practice address
2410 SAMPSON ST, NORTH CHICAGO, IL 60088-2942
(847) 688-2469
Mailing address
3648 N HARRIER RD APT 110, WAUKEGAN, IL 60087-5711
(956) 929-5940
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40625
TX
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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