Michael E Mckenzie Jr, DDS LLC

NPI #1467812297 in Hannibal, Missouri

Provider Information

NPI Number: 1467812297
Entity Type: Organization
Organization Name: Michael E Mckenzie Jr, DDS LLC
Primary Specialty: Dentist
Enumeration Date: Mar 7, 2016
Last Updated: Mar 7, 2016

Practice Location

Address: 2903 SAINT MARYS AVE
City: Hannibal
State: Missouri
ZIP Code: 63401-3714
Phone: (573) 822-3107

Authorized Official

Name: DR. MICHAEL E MCKENZIE JR., DDS
Title: DENTIST
Phone: (573) 822-3107

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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