Individual
SHERRYL MARY MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1800 FORT HARRISON RD, TERRE HAUTE, IN 47804-1413
(812) 645-4266
Mailing address
629 ANTIOCH CIR W, TERRE HAUTE, IN 47803-9456
(479) 925-5731
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012884A
IN
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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