Individual
MICA MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
331 W HARWOOD RD, HURST, TX 76054-3047
(817) 282-4539
Mailing address
4740 EMERALD TRACE WAY, KELLER, TX 76248-6951
(817) 808-5754
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11329
TX
Other
Enumeration date
03/08/2007
Last updated
01/12/2009
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