Organization
ACACIA DENTAL
Active
Other names
MathewsJeffrey A Single Member
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY ARTHUR MATHEWS D.D.S. (OWNER)
(480) 831-7775
Entity
Organization
Contact information
Practice address
7517 S. MCCLINTOCK DR., SUITE 1006, TEMPE, AZ 85283-5011
(480) 831-7775
(480) 831-8108
Mailing address
1321 E KRISTA WAY, TEMPE, AZ 85284-1658
(480) 831-7775
(480) 831-8108
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4342
AZ
261QD0000X
Dental Clinic/Center
Primary
4342
AZ
Other
Enumeration date
05/04/2007
Last updated
07/25/2008
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