Individual
MATTHEW CHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 W JEFFERSON ST, KIRKSVILLE, MO 63501
(866) 626-2878
Mailing address
2112 S HIGH ST APT B, KIRKSVILLE, MO 63501-4756
(213) 604-1990
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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