DR. Bruce James Mathiason, DDS
NPI #1366405722 in Walnut Grove, Minnesota
Provider Information
- NPI Number
- 1366405722
- Entity Type
- Individual
- Name
- DR. Bruce James Mathiason, DDS
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Apr 7, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 400 7TH ST
- City
- Walnut Grove
- State
- Minnesota
- ZIP Code
- 56180-9203
- Phone
- (507) 859-2179
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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