Organization
CRESTVIEW FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER LYNN MATHYS DDS (DENTIST)
(507) 250-0701
Entity
Organization
Contact information
Practice address
1810 CREST VIEW DR, SUITE 5A, HUDSON, WI 54016-9494
(715) 386-3727
Mailing address
1810 CREST VIEW DR, SUITE 5A, HUDSON, WI 54016-9494
(715) 386-3727
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6410-15
WI
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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