Individual
MONCY MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
650 E 25TH ST, KANSAS CITY, MO 64108-2716
(816) 235-2112
Mailing address
650 E 25TH ST, KANSAS CITY, MO 64108
(816) 235-2112
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2006037222
MO
Other
Enumeration date
12/20/2007
Last updated
12/20/2007
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