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Individual
YAA NOEL MCDONALD
Active
Individual
YAA NOEL MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019028415
IL
1223P0221X
Pediatric Dentistry
Primary
021002613
IL
Other
Enumeration date
07/24/2010
Last updated
02/10/2017
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