NPIRadar

Darren Mckay Rodabough, DDS, MS Valid NPI

Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · O Fallon, MO

NPI
1447434048
Type
Individual (Type 1)
Primary specialty
Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223X0400X
License number
2003029849 (MO)
Sex
Male
Sole proprietor
Yes
Enumerated
2007-12-19
Last updated
2007-12-19
Practice location
3006 Highway K
O Fallon, MO 63368-8675
(636) 978-8848

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