Individual
MATTHEW DOUGLAS STUNKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1316 E INDEPENDENCE ST, SPRINGFIELD, MO 65804-4262
(417) 889-0700
Mailing address
1316 E INDEPENDENCE ST, SPRINGFIELD, MO 65804-4262
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2009020432
MO
Other
Enumeration date
07/20/2009
Last updated
07/20/2009
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