Individual
MRS. COURTNEY BUELER MATCHETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2727 ST. MARY'S AVE, HANNIBAI, MO 63401
(573) 221-1227
(573) 221-5564
Mailing address
2727 ST. MARY'S AVE, HANNIBAI, MO 63401
(573) 221-1227
(573) 221-5564
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2021018838
MO
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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