Individual
DR. MATTHEW P. CLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14560 MANCHESTER RD, SUITE 25, BALLWIN, MO 63011-3933
(636) 230-8081
(636) 230-9031
Mailing address
14560 MANCHESTER RD, SUITE 25, BALLWIN, MO 63011-3933
(636) 230-8081
(636) 230-9031
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015823
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11724
BCBS FEDERAL EMPLOYEE
MO
01
—
562522
UNITED CONCORDIA
MO
Enumeration date
01/11/2007
Last updated
07/08/2007
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