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Organization

MATT STUNKEL DDS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATT STUNKEL DDS (DENTIST)
(417) 720-4075
Entity
Organization

Contact information

Practice address
1440 W REPUBLIC RD, STE:144, SPRINGFIELD, MO 65807-5703
(417) 720-4075
Mailing address
1440 W REPUBLIC RD, STE:144, SPRINGFIELD, MO 65807-5703
(417) 720-4075

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2009020432
MO

Other

Enumeration date
07/28/2014
Last updated
07/28/2014
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