NICOLE MATHEW, DT
Dental Therapist
Active
Individual
NPI: 1073013322
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dental Therapist | 125J00000X | Yes | DT96 (MN) |
Frequently Asked Questions
NPI 1073013322 is the National Provider Identifier for NICOLE MATHEW, DT, a Dental Therapist provider located in Minneapolis, MN. This NPI was enumerated on February 13, 2018.
NICOLE MATHEW, DT practices at 636 BROADWAY ST NE, Minneapolis, MN 55413.
Quick Facts
- NPI
- 1073013322
- Type
- Individual
- Enumerated
- Feb 13, 2018
- Last Updated
- Feb 13, 2018
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