Organization
PATRICK M. MCDONOUGH, D.D.S., M.S., P.A.
Active
Other names
Carolina Center for Dental Implants and Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK MCDONOUGH D.D.S., M.S. (PRESIDENT)
(252) 633-1631
Entity
Organization
Contact information
Practice address
2808 VILLAGE WAY, TRENT WOODS, NC 28562-7305
(252) 633-1631
(252) 633-3922
Mailing address
2808 VILLAGE WAY, TRENT WOODS, NC 28562-7305
(252) 633-1631
(252) 633-3922
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
7685
NC
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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