Individual
MATTHEW THOMAS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
122 S STATE ST, FALL CREEK, WI 54742-9701
(715) 514-9600
Mailing address
122 S STATE ST, FALL CREEK, WI 54742-9701
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6001463-15
WI
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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