Mark Newton Mcdonald DMD

NPI 1093795122 - Dentist - 1223G0001X

NPI Details
NPI 1093795122
Gender Male
Enumeration Date 01/17/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
BLDG 2441 21ST STREET
USA DENTAC
FORT CAMPBELL KY, 42223-5369, US
Phone (270) 798-8614
Fax (270) 798-8633
Business Location
BLDG 2441 21ST STREET
USA DENTAC
FORT CAMPBELL KY, 42223-5369, US
Phone (270) 798-8614
Fax (270) 798-8633
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 17588
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According to our database, Dr. Mark Newton Mcdonald DMD NPI is 1093795122, taxonomy code is 1223G0001X and license number is 17588, license state is located at Texas. Mark Newton Mcdonald DMD physically located at Bldg 2441 21st Street, Fort Campbell KY, 42223-5369. NPI Number Mark Newton Mcdonald DMD has the Individual type.

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1093795122 NPI number is provided on an as is basis without warranty of any kind. 1093795122 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Newton Mcdonald DMD are for informational purposes only.