Individual
DR. DARREN MCKAY RODABOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
3006 HIGHWAY K, O FALLON, MO 63368-8675
(636) 978-8848
(636) 978-0240
Mailing address
3 BLAZING STAR CT, O FALLON, MO 63368-9724
(636) 272-5017
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2003029849
MO
Other
Enumeration date
12/19/2007
Last updated
12/19/2007
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