Organization
MCDONALD FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT ALLEN MCDONALD DDS (PRESIDENT)
(317) 336-7788
Entity
Organization
Contact information
Practice address
5842 WEST BROADWAY, MCCORDSVILLE, IN 46055
(317) 336-7788
(317) 336-7277
Mailing address
5842 WEST BROADWAY, MCCORDSVILLE, IN 46055
(317) 336-7788
(317) 336-7277
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010363A
IN
Other
Enumeration date
03/16/2007
Last updated
08/17/2007
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