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Individual

DR. GARY DALLAS MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
875 CLARK STREET, SUITE A, OVIEDO, FL 32765
(407) 366-7655
(407) 366-4129
Mailing address
875 CLARK STREET, SUITE A, OVIEDO, FL 32765
(407) 366-7655
(407) 366-4129

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC002292
FL

Other

Enumeration date
10/11/2006
Last updated
07/08/2007
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