Individual
BARRY MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5410 PARK DR, ROCKLIN, CA 95765-5562
(916) 435-2475
Mailing address
5410 PARK DR, ROCKLIN, CA 95765-5562
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
28753
CA
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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