Individual
BRADLEY STEVEN MATTHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11710 OLD BALLAS RD STE 200, CREVE COEUR, MO 63141-7076
(314) 989-9777
(314) 989-9779
Mailing address
11710 OLD BALLAS RD STE 200, CREVE COEUR, MO 63141-7076
(314) 989-9777
(314) 989-9779
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2018017553
MO
1223P0700X
Prosthodontics
Primary
2018017553
MO
Other
Enumeration date
08/20/2018
Last updated
05/13/2022
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