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Individual

ANCEL C MATHEW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
4122 ALDENHAM DR, GARLAND, TX 75043-7272
(972) 800-6878
Mailing address
4122 ALDENHAM DR, GARLAND, TX 75043-7272
(972) 800-6878

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41713
TX
261QS1000X
Student Health Clinic/Center

Other

Enumeration date
04/01/2024
Last updated
07/02/2025
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