M.a. Mcdonald, D.d.s., INC

NPI #1629074174 in Lebanon, Indiana

Provider Information

NPI Number: 1629074174
Entity Type: Organization
Organization Name: M.a. Mcdonald, D.d.s., INC
Primary Specialty: Dentist
Enumeration Date: Jun 21, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 1606 N LEBANON ST
City: Lebanon
State: Indiana
ZIP Code: 46052-1514
Phone: (765) 482-6622

Authorized Official

Name: MICHAEL ALLEN MCDONALD, D.D.S
Title: OWNER
Phone: (765) 482-6672

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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