Individual
MATTHEW KYLE MCHUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15151 E 104TH AVE STE 103, COMMERCE CITY, CO 80022-8948
(303) 287-7000
Mailing address
3701 W AKEMAN BRIDGE RD, COLUMBIA, MO 65202-7241
(573) 999-1083
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00204241
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2019
Last updated
12/21/2019
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