Individual
DR. JON WARD MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2101 TRINITY DR, SUITE P, LOS ALAMOS, NM 87544-4102
(505) 622-2426
(505) 661-4135
Mailing address
185 CENTRAL PARK SQUARE, LOS ALAMOS, NM 87544
(505) 662-2426
(505) 661-4135
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD3104
NM
1223G0001X
General Practice Dentistry
5918336
UT
Other
Enumeration date
08/28/2006
Last updated
05/17/2016
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