Crestview Family Dental

NPI #1922477793 in Hudson, Wisconsin

Provider Information

NPI Number: 1922477793
Entity Type: Organization
Organization Name: Crestview Family Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 22, 2015
Last Updated: Sep 22, 2015

Practice Location

Address: 1810 CREST VIEW DR
Address 2: SUITE 5A
City: Hudson
State: Wisconsin
ZIP Code: 54016-9494
Phone: (715) 386-3727

Authorized Official

Name: DR. JENNIFER LYNN MATHYS, DDS
Title: DENTIST
Phone: (507) 250-0701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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