Richard Mcdermott DDS Ms Orthodontics LLC

NPI #1720398910 in Florissant, Missouri

Provider Information

NPI Number
1720398910
Entity Type
Organization
Organization Name
Richard Mcdermott DDS Ms Orthodontics LLC
Subpart
Yes (part of a larger organization)
Parent Organization
RICHARD MCDERMOTT DDS MS ORTHODONTICS LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Oct 21, 2010
Last Updated
Oct 21, 2010

Practice Location

Address
3837 VAILE AVE
Address 2
SUTIE G
ZIP Code
63034
Phone
(314) 831-9399

Authorized Official

Name
KAREN SUE MCCANN
Title
PRACTICE ADMINISTRATOR
Phone
(618) 281-3399

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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