DR. Grady David Donathan III, DDS

NPI #1558577221 in Mcalester, Oklahoma

Provider Information

NPI Number
1558577221
Entity Type
Individual
Name
DR. Grady David Donathan III, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
May 16, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
519 S 3RD ST
ZIP Code
74501-5819
Phone
(918) 423-2575

Specialties & Taxonomy Codes

Specialty
Dentist

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