Individual
DR. MARK WILLIAM MCDONOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
245 SOUTH MAIN STREET, PENNINGTON, NJ 08534
(609) 730-1414
(609) 730-1456
Mailing address
245 SOUTH MAIN STREET, PENNINGTON, NJ 08534
(609) 730-1414
(609) 730-1456
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DI-18916
NJ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DS027596L
PA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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