DR. Gary Lee Mattson, DDS

NPI #1245366186 in Willmar, Minnesota

Provider Information

NPI Number
1245366186
Entity Type
Individual
Name
DR. Gary Lee Mattson, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Feb 26, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
113 LITCHFIELD AVE SE
ZIP Code
56201-3628
Phone
(320) 235-9551

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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