| Crestview Family Dental | |
|
1810 Crest View Dr Suite 5a Hudson WI 54016-9494 | |
| (715) 386-3727 | |
| Not Available |
| Full Name | Crestview Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1810 Crest View Dr, Hudson, Wisconsin |
| Authorized Official Name and Position | Jennifer Lynn Mathys (DENTIST) |
| Authorized Official Contact | 5072500701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crestview Family Dental 1810 Crest View Dr Suite 5a Hudson WI 54016-9494 Ph: (715) 386-3727 | Crestview Family Dental 1810 Crest View Dr Suite 5a Hudson WI 54016-9494 Ph: (715) 386-3727 |
| NPI Number | 1922477793 |
|---|---|
| Provider Enumeration Date | 09/22/2015 |
| Last Update Date | 09/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922477793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6410-15 (Wisconsin) | Primary |
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