Organization
KARLA R MCDONALD DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARLA RENEE MCDONALD DDS (DENTIST/OWNER)
(715) 570-0348
Entity
Organization
Contact information
Practice address
406 DALY AVE, WISCONSIN RAPIDS, WI 54494-4744
(715) 421-1515
(715) 423-8552
Mailing address
1121 ROBIN CIR, WISCONSIN RAPIDS, WI 54494-3118
(715) 712-0424
(715) 712-0424
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124463443
NPI
—
Enumeration date
02/13/2023
Last updated
02/13/2023
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