Organization
STUART J. MACDONALD, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART J. MACDONALD DMD (PRESIDENT)
(617) 364-5500
Entity
Organization
Contact information
Practice address
1259 HYDE PARK AVE, HYDE PARK, MA 02136-2817
(617) 364-5500
(617) 361-1351
Mailing address
1259 HYDE PARK AVE, HYDE PARK, MA 02136-2817
(617) 364-5500
(617) 361-1351
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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