Individual
NATHAN MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7020 N PORT WASHINGTON RD STE 216, GLENDALE, WI 53217-3800
(414) 964-0680
Mailing address
1279 SPRINGFIELD ST APT 119, UPLAND, CA 91786-7516
(805) 231-4220
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1002027-15
WI
Other
Enumeration date
04/17/2018
Last updated
04/27/2023
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