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1407595887
KEVIN MARK MATTINGLY
PERRYVILLE, MO
NPI
1407595887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MO 2022018780)
Enumeration Date
2022-06-02
Last Update Date
2022-06-02
Business Address
Dr. KEVIN MARK MATTINGLY DDS
22 S WEST ST
PERRYVILLE, MO 63775-2547
Phone number: 573-547-6691
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Mailing Address
Dr. KEVIN MARK MATTINGLY DDS
22 S WEST ST
PERRYVILLE, MO 63775-2547
Phone number: 573-547-6691
Copy
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