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Individual

DR. EDWARD D'WITT MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2463 HAMILTON MILL PKWY, SUITE 240, DACULA, GA 30019-4648
(770) 932-6510
(770) 932-6511
Mailing address
2463 HAMILTON MILL PKWY, SUITE 240, DACULA, GA 30019-4648
(770) 932-6510
(770) 932-6511

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013829
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
847469223C
GA
Enumeration date
01/15/2009
Last updated
01/18/2012
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