Organization
FT MCDONALD DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED MCDONALD (PRESIDENT)
(870) 536-6430
Entity
Organization
Contact information
Practice address
3900 S OLIVE ST, PINE BLUFF, AR 71603-6745
(870) 536-6430
Mailing address
3900 S OLIVE ST, PINE BLUFF, AR 71603-6745
(879) 036-6430
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1983
AR
Other
Enumeration date
02/09/2007
Last updated
08/22/2020
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