Kelly Mcdonough DDS a Dental Corporation
NPI #1962613190 in Dana Point, California
Provider Information
- NPI Number
- 1962613190
- Entity Type
- Organization
- Organization Name
- Kelly Mcdonough DDS a Dental Corporation
- Primary Specialty
- Dentist
- Enumeration Date
- May 28, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 19 MONARCH BAY PLZ
- City
- Dana Point
- State
- California
- ZIP Code
- 92629-3424
- Phone
- (949) 487-7779
Authorized Official
- Name
- DR. KELLY MCDONOUGH, DDS
- Title
- PRESIDENT
- Phone
- (949) 487-7779
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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