DR. Paul Thomas Matlock, D.D.S.

NPI #1174740997 in Lees Summit, Missouri

Provider Information

NPI Number: 1174740997
Entity Type: Individual
Name: DR. Paul Thomas Matlock, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Apr 20, 2007
Last Updated: Aug 7, 2012

Practice Location

Address: 301 NE MULBERRY ST
Address 2: SUITE 205
City: Lees Summit
State: Missouri
ZIP Code: 64086-6031
Phone: (816) 246-4920

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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