Organization
FAMILY DENTISTRY OF MOORHEAD, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER MARK MATHISON DDS (OWNER/DDS)
(218) 233-4267
Entity
Organization
Contact information
Practice address
1616 30TH AVE S, MOORHEAD, MN 56560-5152
(218) 233-4267
Mailing address
1616 30TH AVE S, MOORHEAD, MN 56560-5152
(218) 233-4267
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9145
MN
Other
Enumeration date
05/02/2006
Last updated
06/26/2014
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