Individual
DR. KEITH MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
5753 E BROWN RD, SUITE 101, MESA, AZ 85205-4411
(480) 396-3577
Mailing address
5753 E BROWN RD, MESA, AZ 85205-4411
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4853
AZ
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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