Individual
DR. CHARLES C MACDONALD III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4771 STATE ROUTE 71, OSWEGO, IL 60543-7415
(630) 930-9339
Mailing address
4771 STATE ROUTE 71, OSWEGO, IL 60543-7415
(630) 930-9339
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019028619
IL
Other
Enumeration date
06/02/2011
Last updated
11/24/2013
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