Organization
LISA J. MCDONALD, DMD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA J MCDONALD DMD (OWNER/DENTIST)
(314) 727-1319
Entity
Organization
Contact information
Practice address
7247 DELMAR BOULEVARD, ST LOUIS, MO 63130
(314) 727-1319
(214) 727-7221
Mailing address
7247 DELMAR BOULEVARD, ST LOUIS, MO 63130
(314) 727-1319
(214) 727-7221
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2001022020
MO
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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