Individual
DR. ROSS RICHARD MATHESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
124 N HANSELMAN ST, BAD AXE, MI 48413-1201
(248) 605-1227
Mailing address
124 N HANSELMAN ST, BAD AXE, MI 48413-1201
(248) 605-1227
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901019430
MI
Other
Enumeration date
09/13/2006
Last updated
08/25/2009
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