Wayne Alan Mathe DDS

NPI 1063537868 - Dentist - 122300000X

NPI Details
NPI 1063537868
Gender Male
Enumeration Date 03/20/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
101 HOSPITAL RD
SONORA CA, 95370-5227, US
Phone (209) 533-7213
Fax
Business Location
12917 BECKWITH CIR
SONORA CA, 95370-5991, US
Phone (209) 533-8258
Fax
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 26204
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According to our database, Wayne Alan Mathe DDS NPI is 1063537868, taxonomy code is 122300000X and license number is 26204, license state is located at California. Wayne Alan Mathe DDS physically located at 101 Hospital Rd, Sonora CA, 95370-5227. NPI Number Wayne Alan Mathe DDS has the Individual type.

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1063537868 NPI number is provided on an as is basis without warranty of any kind. 1063537868 is maintained by the National Plan & Provider Enumeration System. The contents of Wayne Alan Mathe DDS are for informational purposes only.