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Mattingly Boxdorfer Dental
Dental Clinic/Center in Perryville, Missouri
NPI 1194457044

Mattingly Boxdorfer Dental is a Dental Clinic/Center based in Perryville, MO and is specialized in Dental. Mattingly Boxdorfer Dental practices in Perryville, MO. The NPI Number for Mattingly Boxdorfer Dental is 1194457044 and holds a License No. (Missouri).

The current practice location address for Mattingly Boxdorfer Dental is 22 S West St, Perryville, MO and can be reached out via phone at 573-547-6691 and via fax at 573-547-6696.

Location: 22 S West St, Perryville, MO, 63775-2547
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194457044
Provider Name
Mattingly Boxdorfer Dental
Credential
Provider Entity Type
Organization
Address
22 S West St, Perryville, MO, 63775-2547
Phone Number
573-547-6691
Fax Number
573-547-6696
Provider Enumeration Date
06/29/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
22 S West St
City
Perryville
State
Missouri
Zip
63775-2547
Phone Number
573-547-6691
Fax Number
573-547-6696
person
Provider Business Mailing Address Details
Address
22 S West St
City
Perryville
State
Missouri
Zip
63775-2547
Phone Number
573-547-6691
Fax Number
573-547-6696
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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