Matt St George INC

NPI #1336689660 in Fulton, Missouri

Provider Information

NPI Number: 1336689660
Entity Type: Organization
Organization Name: Matt St George INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 6, 2017
Last Updated: Mar 6, 2017

Practice Location

Address: 603 NICHOLS ST
City: Fulton
State: Missouri
ZIP Code: 65251-2650
Phone: (573) 642-6904

Authorized Official

Name: MATTHEW ST GEORGE, DDS
Title: OWNER
Phone: (573) 642-6904

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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