Nicole Mathew, DT Valid NPI
Individual provider · Dental Therapist · Minneapolis, MN
- NPI
- 1073013322
- Type
- Individual (Type 1)
- Primary specialty
- Dental Therapist
- Specialty group
- Dental Providers
- Taxonomy code
- 125J00000X
- License number
- DT96 (MN)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2018-02-13
- Last updated
- 2018-02-13
Practice location
636 Broadway St Ne
Minneapolis, MN 55413-2164
(612) 746-1530