Organization
T M MCKENNA INC
Active
Other names
T M McKenna DDS PC
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY MICHAEL MCKENNA DDS (OWNER)
(636) 394-5215
Entity
Organization
Contact information
Practice address
453 LAFAYETTE CENTER, MANCHESTER, MO 63011-3943
(636) 394-5215
Mailing address
453 LAFAYETTE CENTER, MANCHESTER, MO 63011-3943
(636) 394-5215
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12263
MO
Other
Enumeration date
01/03/2007
Last updated
08/22/2020
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