Individual
MICHAEL WARNE MATHEWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
215 E 2ND ST, DIXON, IL 61021-3118
(815) 284-1557
Mailing address
215 E 2ND ST, DIXON, IL 61021-3118
(815) 284-2749
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019017139
IL
Other
Enumeration date
08/31/2006
Last updated
07/15/2019
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