Individual
DR. SEAN THOMAS MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1440 REED CANAL RD, PORT ORANGE, FL 32129-9418
(386) 760-0550
Mailing address
323 DESOTO DR, NEW SMYRNA BEACH, FL 32169-5208
(386) 871-1702
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN16783
FL
Other
Enumeration date
01/24/2006
Last updated
06/21/2016
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