Individual
GLEN MCDONALD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5820 MCCLELLAN BLVD, ANNISTON, AL 36206-8466
(256) 820-5570
(256) 820-5322
Mailing address
5820 MCCLELLAN BLVD, ANNISTON, AL 36206-8466
(256) 820-5570
(256) 820-5322
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3442
AL
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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