Mitzy A. Golden
General Dentistry · Mattoon, IL
UnclaimedNPI 1982018842
- Primary taxonomy
- 122300000X
- Enumerated
- 2014-06-18
- Practice location
- Mattoon, IL
- Last NPPES update
- 2014-08-05
State licenses
- IL · Dentist · LICENSED DENTISTExpiredthrough 2015
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.