Individual
DR. STEPHEN MCKOWN MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
200 HEALTH WAY DR, SUITE 1, POTOSI, MO 63664-1434
(573) 436-0300
Mailing address
801 SELMA AVE, WEBSTER GROVES, MO 63119-4166
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
014735
MO
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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