Individual
DR. MATTHEW EVAN CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1497 N BUSINESS ROUTE 5, CAMDENTON, MO 65020-2636
(573) 346-7278
(573) 346-2176
Mailing address
PO BOX 820, CAMDENTON, MO 65020-0820
(573) 346-7278
(573) 346-2176
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2016017394
MO
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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