RICHARD ANTHONY MATHENY

PORT ST LUCIE, FL
NPI1093917601
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  DN 013949)
Enumeration Date2007-06-05
Last Update Date2007-07-08
Business Address
-- RICHARD ANTHONY MATHENY D.D.S.
139 SW PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34984-5031
Phone number: 772-878-5000
Mailing Address
-- RICHARD ANTHONY MATHENY D.D.S.
139 SW PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34984-5031
Phone number: 772-878-5000