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Individual
MATTHEW CRAIG STOVER
Active
Individual
MATTHEW CRAIG STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10172
TN
122300000X
Dentist
9246
KY
Other
Enumeration date
11/15/2012
Last updated
12/11/2015
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