Organization
GLEN B MCDONALD DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN BRYAN MCDONALD DDS PC (OWNER DENTAL PRACTICE)
(256) 820-5570
Entity
Organization
Contact information
Practice address
5820 MCCLELLAN BOULEVARD, ANNISTON, AL 36206
(256) 820-5570
(256) 820-5322
Mailing address
5820 MCCLELLAN BOULEVARD, ANNISTON, AL 36206
(256) 820-5570
(256) 820-5322
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3442
AL
Other
Enumeration date
12/01/2006
Last updated
02/05/2013
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