Individual
MICHAEL MCMAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3424 S CULPEPPER CT, SPRINGFIELD, MO 65804-3755
(417) 881-1213
Mailing address
4244 N VENICE AVE, OZARK, MO 65721-4272
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2024019730
MO
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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