Individual
DR. ANITA BIJU MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1507 W YOSEMITE AVE, MANTECA, CA 95337-5159
(209) 823-9341
Mailing address
5578 BALDWIN WAY, PLEASANTON, CA 94588-3679
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS101862
CA
1223G0001X
General Practice Dentistry
DN1856131
MA
Other
Enumeration date
09/17/2012
Last updated
04/20/2021
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