Individual
DR. MICHELLE LYNN DEMATTHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6729 LAKE RD, WINDSOR, WI 53598
(608) 846-5407
Mailing address
1635 N WATER ST, MILWAUKEE, WI 53202-2793
(414) 791-4170
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002314
WI
Other
Enumeration date
05/26/2020
Last updated
09/14/2023
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