Individual
DR. BO L MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
11340 W OLYMPIC BLVD, 148, LOS ANGELES, CA 90064-1608
(310) 479-4459
(310) 477-9239
Mailing address
11340 W. OLYMPIC BLVD., 148, LOS ANGELES, CA 90064
(310) 479-4459
(310) 477-9239
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
036959
CA
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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