T M Mckenna INC

NPI #1639236185 in Manchester, Missouri

Provider Information

NPI Number: 1639236185
Entity Type: Organization
Organization Name: T M Mckenna INC
Primary Specialty: Dentist
Enumeration Date: Jan 3, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 453 LAFAYETTE CENTER
City: Manchester
State: Missouri
ZIP Code: 63011-3943
Phone: (636) 394-5215

Authorized Official

Name: TERRY MICHAEL MCKENNA, DDS
Title: OWNER
Phone: (636) 394-5215

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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