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Individual
JOHN SANFORD MCDONALD
Active
Individual
JOHN SANFORD MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDSMS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
30-016274
OH
207ZP0101X
Anatomic Pathology Physician
Primary
30-016274
OH
Other
Enumeration date
07/21/2005
Last updated
02/25/2016
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