Individual
DR. KEITH THOMAS MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9924 US HIGHWAY 311, ARCHDALE, NC 27263-8826
(336) 434-3186
(336) 434-3189
Mailing address
3804 GASTON RD, GREENSBORO, NC 27407-7759
(336) 294-1549
(336) 434-3189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4921
NC
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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