Individual
DR. PAUL THOMAS MATLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
301 NE MULBERRY ST, SUITE 205, LEES SUMMIT, MO 64086-6031
(816) 246-4920
(816) 246-4970
Mailing address
301 NE MULBERRY ST, SUITE 205, LEES SUMMIT, MO 64086-6031
(816) 246-4920
(816) 246-4970
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
015728
MO
Other
Enumeration date
04/20/2007
Last updated
08/07/2012
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