Individual
RALPH EVAN MACDONALD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
910 KATHERINE AVENUE, SUITE A, ASHLAND, OH 44805
(419) 289-1813
(419) 281-8279
Mailing address
231 SOUTH COUNTRYSIDE DRIVE, ASHLAND, OH 44805
(419) 289-2896
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20949
OH
1223G0001X
General Practice Dentistry
2901014260
MI
1223G0001X
General Practice Dentistry
6510
NC
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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