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DR. MARK THOMAS MCDONOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 274-8300
Mailing address
550 UNIVERSITY BLVD # 3145, INDIANAPOLIS, IN 46202-5149
(317) 274-8300

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12013134A
IN

Other

Enumeration date
05/16/2019
Last updated
05/16/2019
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