Dr. Gary Lee Mattson, DDS
Dentist, General Practice in Willmar, MN. Individual provider (NPI-1).
NPI number1245366186
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1245366186
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gary Lee Mattson
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 26, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 9083 | MN | Yes |
Practice location
113 Litchfield Ave SeWillmar, MN 56201-3628
Phone 320-235-9551 · Fax 320-235-6786
Mailing address
113 Litchfield Ave SeWillmar, MN 56201-3628
Phone 320-235-9551 · Fax 320-235-6786
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All 22 General Practice Dentistry providers in Willmar · All 1,000 providers in Willmar
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