Individual
DR. BOB MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8615 RIDGELYS CHOICE DR, SUITE 209, NOTTINGHAM, MD 21236-3026
(410) 248-0025
Mailing address
8615 RIDGELYS CHOICE DR, SUITE 209, NOTTINGHAM, MD 21236-3026
(410) 248-0025
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13009
MD
Other
Enumeration date
02/03/2007
Last updated
11/03/2012
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