Individual
PAUL REDD MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
910 S 300 W, BLANDING, UT 84511-3921
(435) 678-0700
(435) 678-3610
Mailing address
PO BOX 130, MONTEZUMA CREEK, UT 84534-0130
(435) 678-0339
(435) 678-0608
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
275440-9923
UT
Other
Enumeration date
04/22/2008
Last updated
11/30/2022
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