Individual
DR. KATHI JO MATTHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
517 SW 3RD ST, LEES SUMMIT, MO 64063-2258
(816) 524-3734
(816) 524-9211
Mailing address
517 SW 3RD ST, LEES SUMMIT, MO 64063-2258
(816) 524-3734
(816) 524-9211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16020
MO
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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