Individual
STUART J. MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1259 HYDE PARK AVE, HYDE PARK, MA 02136-2817
(617) 364-5500
(617) 361-1351
Mailing address
195 TOWER ST, DEDHAM, MA 02026-3801
(781) 381-0267
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20284
MA
Other
Enumeration date
03/21/2007
Last updated
05/06/2016
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