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Organization
MCLEOD PERIODONTICS
Active
Organization
MCLEOD PERIODONTICS
Active
Parent organization
MCLEOD PERIODONTICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCLEOD PERIODONTICS
Authorized official
DR. DWIGHT E. MCLEOD DDS (OWNER)
(314) 731-1700
Entity
Organization
Contact information
Practice address
5992 HOWDERSHELL RD, SUITE 204, HAZELWOOD, MO 63042-4107
(314) 731-1700
(314) 731-1784
Mailing address
5992 HOWDERSHELL RD., SUITE 204, HAZELWOOD, MISSOURI 63042
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
015787
MO
Other
Enumeration date
11/21/2008
Last updated
11/21/2008
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