| NPI | 1598581357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND MCLAGAN Orthodontist / Owner 573-239-0087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-11-26 |
| Last Update Date | 2024-11-26 |