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Organization

RICHARD MCDERMOTT DDS MS ORTHODONTICS LLC

Active
Parent organization
RICHARD MCDERMOTT DDS MS ORTHODONTICS LLC
Other names
Legacy Orthodontics
Organization subpart
Yes

Provider details

NPI number
Legal business name
RICHARD MCDERMOTT DDS MS ORTHODONTICS LLC
Authorized official
KAREN SUE MCCANN (PRACTICE ADMINISTRATOR)
(618) 281-3399
Entity
Organization

Contact information

Practice address
3837 VAILE AVE, SUTIE G, FLORISSANT, MO 63034
(314) 831-9399
(314) 831-8146
Mailing address
3837 VAILE AVE, SUITE G, FLORISSANT, MO 63034
(314) 831-9399
(314) 831-8146

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
31267
MO

Other

Enumeration date
10/21/2010
Last updated
10/21/2010
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