Organization
CORNALI & MCDONALD ORTHODONTIC SPECIALITST LTD. CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW R. MCDONALD DDS (OWNER)
(505) 828-1244
Entity
Organization
Contact information
Practice address
8010 PALOMAS AVE NE, SUITE A, ALBUQUERQUE, NM 87109-5201
(505) 828-1244
(505) 828-1447
Mailing address
8010 PALOMAS AVE NE, SUITE A, ALBUQUERQUE, NM 87109-5201
(505) 828-1244
(505) 828-1447
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DD4636
NM
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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