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Individual

ERIC MATTHEW MCDONOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
2031 WEST CHESTNUT ST., WASHINGTON, PA 15301
(724) 228-6684
(724) 228-8606
Mailing address
2031 WEST CHESTNUT ST., WASHINGTON, PA 15301
(724) 228-6684
(724) 228-8606

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS-030565-L
PA
1223G0001X
General Practice Dentistry
DS030565L
PA

Other

Enumeration date
08/05/2006
Last updated
08/19/2011
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