Organization
M.A. MCDONALD, D.D.S., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ALLEN MCDONALD D.D.S (OWNER)
(765) 482-6672
Entity
Organization
Contact information
Practice address
1606 N LEBANON ST, LEBANON, IN 46052-1514
(765) 482-6622
Mailing address
1606 N LEBANON ST, LEBANON, IN 46052-1514
(765) 482-6622
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6967
IN
Other
Enumeration date
06/21/2005
Last updated
08/22/2020
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