Mitzy A. Golden

NPI #1982018842 in Mattoon, Illinois

Provider Information

NPI Number: 1982018842
Entity Type: Individual
Name: Mitzy A. Golden
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jun 18, 2014
Last Updated: Aug 5, 2014

Practice Location

Address: 1000 HEALTH CENTER DR
City: Mattoon
State: Illinois
ZIP Code: 61938-9253
Phone: (217) 345-3555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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