| NPI | 1639236185 |
|---|---|
| Former Legal Business Name | T M MCKENNA DDS PC |
| Entity Type | Organization |
| Authorized Contact | TERRY MICHAEL MCKENNA Owner 636-394-5215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MO 12263) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |