Michael Justice Mcdonald

NPI #1912402868 in Siloam Springs, Arkansas

Provider Information

NPI Number: 1912402868
Entity Type: Individual
Name: Michael Justice Mcdonald
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 23, 2018
Last Updated: Nov 16, 2022

Practice Location

Address: 3555 E US-412 HWY
Address 2: SUITE 30
City: Siloam Springs
State: Arkansas
ZIP Code: 72761
Phone: (210) 956-0517

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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