Mgm19 INC
NPI #1215579008 in Saint Charles, Illinois
Provider Information
- NPI Number
- 1215579008
- Entity Type
- Organization
- Organization Name
- Mgm19 INC
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Oct 13, 2019
- Last Updated
- Mar 12, 2024
Practice Location
- Address
- 605 COURTYARD DR
- City
- Saint Charles
- State
- Illinois
- ZIP Code
- 60174-1463
- Phone
- (630) 377-7077
Authorized Official
- Name
- DR. MATTHEW GREGORY MCKNIGHT, DDS, MD
- Title
- OWNER/PRESIDENT
- Phone
- (630) 377-7077
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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