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Individual

MATTHEW MCKISSICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
720 TURNPIKE AVE, CLEARFIELD, PA 16830-1231
(814) 765-3631
Mailing address
731 OLD TOWN RD, CLEARFIELD, PA 16830-1903
(814) 765-9563

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS037094
PA

Other

Enumeration date
05/19/2007
Last updated
11/04/2009
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