Matthew Bluth

NPI #1518490408 in Abbotsford, Wisconsin

Provider Information

NPI Number
1518490408
Entity Type
Individual
Name
Matthew Bluth
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Enumeration Date
Apr 6, 2017
Last Updated
Dec 16, 2021

Practice Location

Address
202 E BIRCH ST
ZIP Code
54405-9439
Phone
(715) 223-4844

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Dentist

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Organizations

Provider Name
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