Organization
CORNERSTONE DENTSITRY; PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD D MCDONALD DDS (PRESIDENT/CEO)
(770) 932-6510
Entity
Organization
Contact information
Practice address
2463 HAMILTON MILL PKWY, 240, DACULA, GA 30019-4648
(770) 932-6510
Mailing address
2463 HAMILTON MILL PKWY, 240, DACULA, GA 30019-4648
(770) 932-6510
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013829
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
847469223C
—
GA
Enumeration date
12/17/2010
Last updated
12/17/2010
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