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Contact Information

LIZA K MATHIAS, DDS
642 HARRISON STREET
PORT TOWNSEND, WA98368
 Phone: 360-385-4700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for LIZA K MATHIAS · (Female)

NPI Number 1104267129
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/08/2013
Last updated 10/28/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • ID License # D-4507
  • WA License # DE 60387816
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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