Organization
BARNES AND MCDONNELL PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN T. MCDONNELL D.D.S. (PARTNER)
(386) 760-0550
Entity
Organization
Contact information
Practice address
1440 REED CANAL RD, SUITE 103, PORT ORANGE, FL 32129-9418
(386) 760-0550
(386) 756-1009
Mailing address
1440 REED CANAL RD, SUITE 103, PORT ORANGE, FL 32129-9418
(386) 760-0550
(386) 756-1009
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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