Individual
DONALD DOUGLAS MACKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
33 MERZ BLVD, FAIRLAWN, OH 44333
(330) 864-8822
(330) 864-1957
Mailing address
171 GRANGER RD, #146, MEDINA, OH 44256
(330) 701-8822
(330) 666-9467
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30012523
OH
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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