| Kelly Mcdonough Dds A Dental Corporation | |
|
19 Monarch Bay Plz Dana Point CA 92629-3424 | |
| (949) 487-7779 | |
| Not Available |
| Full Name | Kelly Mcdonough Dds A Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 19 Monarch Bay Plz, Dana Point, California |
| Authorized Official Name and Position | Kelly Mcdonough (PRESIDENT) |
| Authorized Official Contact | 9494877779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Mcdonough Dds A Dental Corporation 19 Monarch Bay Plz Dana Point CA 92629-3424 Ph: (949) 487-7779 | Kelly Mcdonough Dds A Dental Corporation 19 Monarch Bay Plz Dana Point CA 92629-3424 Ph: (949) 487-7779 |
| NPI Number | 1962613190 |
|---|---|
| Provider Enumeration Date | 05/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962613190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 33197 (California) | Primary |
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