Individual
DR. JANE S MATHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2315 W MAIN ST, APPLETON, WI 54911-4178
(920) 735-9366
(920) 735-9616
Mailing address
2315 W MAIN ST, APPLETON, WI 54911-4178
(920) 735-9366
(920) 735-9616
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4049-015
WI
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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