Dr. MATTHEW THOMAS WENDAHL DMD, MD
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1568804961- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DMD, MD
- Status
- Active
Contact & Location
- Address
- 19045 E VALLEY VIEW PKWY, INDEPENDENCE, MO, 640557030
- Phone
- (800) 566-2079
Specialties & Taxonomies
Dentist
License: TN #10313
Dentist, Oral and Maxillofacial Surgery
License: KS #61841
Dentist, Oral and Maxillofacial Surgery
Primary License: MO #2022006316