Mark T Mcdonald DDS

NPI 1063604429 - Dentist - 122300000X

NPI Details
NPI 1063604429
Gender Male
Enumeration Date 08/09/2007
Last Updated 08/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1601 12TH AVE RD
SUITE 103
NAMPA ID, 83686-7711, US
Phone (208) 467-9690
Fax (208) 466-0412
Business Location
1601 12TH AVE RD
SUITE 103
NAMPA ID, 83686-7711, US
Phone (208) 467-9690
Fax (208) 466-0412
Toxanomy
Taxonomy Code 122300000X
License State Idaho
License Number D3958
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According to our database, Dr. Mark T Mcdonald DDS NPI is 1063604429, taxonomy code is 122300000X and license number is D3958, license state is located at Idaho. Mark T Mcdonald DDS physically located at 1601 12th Ave Rd, Nampa ID, 83686-7711. NPI Number Mark T Mcdonald DDS has the Individual type.

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1063604429 NPI number is provided on an as is basis without warranty of any kind. 1063604429 is maintained by the National Plan & Provider Enumeration System. The contents of Mark T Mcdonald DDS are for informational purposes only.