Individual
DR. KEITH E. MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
451 DUVALL AVE NE, SUITE 140, RENTON, WA 98059-4675
(425) 228-5437
(425) 663-7990
Mailing address
451 DUVALL AVE NE, SUITE 140, RENTON, WA 98059-4675
(425) 228-5437
(425) 663-7990
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE00010042
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5048921
—
WA
Enumeration date
03/04/2006
Last updated
07/08/2007
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