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1093917601
RICHARD ANTHONY MATHENY
PORT ST LUCIE, FL
NPI
1093917601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN 013949)
Enumeration Date
2007-06-05
Last Update Date
2007-07-08
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
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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
Copy
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