| NPI | 1891907630 |
|---|---|
| Other Name | MATHEWSJEFFREY A SINGLE MEMBER |
| Entity Type | Organization |
| Authorized Contact | JEFFREY ARTHUR MATHEWS Owner 480-831-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ 4342) |
| Additional Taxonomies | 122300000X Dentist (Licence: AZ 4342) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2008-07-25 |