Organization
CHERYL E. MCDONOUGH, DMD, APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERYL EILEEN MCDONOUGH D.M.D. (PRESIDENT)
(949) 492-0042
Entity
Organization
Contact information
Practice address
67 VIA PICO PLZ, SAN CLEMENTE, CA 92672-3998
(949) 492-0042
(949) 492-0047
Mailing address
67 VIA PICO PLZ, SAN CLEMENTE, CA 92672-3998
(949) 492-0042
(949) 492-0047
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
44939
CA
Other
Enumeration date
04/04/2007
Last updated
06/01/2010
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