Individual
DR. MATTHEW D KUFAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2820 S INGRAM MILL RD, SPRINGFIELD, MO 65804-4042
(417) 887-5925
(417) 887-5998
Mailing address
2820 S INGRAM MILL RD, SPRINGFIELD, MO 65804-4042
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
013223
MO
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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