Organization
MCDONALD-WIN-E-MAC DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER JAMES MCDONALD DDS (OWNER/PARTNER)
(218) 563-3001
Entity
Organization
Contact information
Practice address
105 2ND ST SW, MCINTOSH, MN 56556
(218) 563-3001
(218) 563-3002
Mailing address
105 2ND ST SW, PO BOX 265, MCINTOSH, MN 56556
(218) 563-3001
(218) 563-3002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12117
MN
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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