| Lisa J. Mcdonald, Dmd, Inc. | |
|
7247 Delmar Boulevard St Louis MO 63130 | |
| (314) 727-1319 | |
| (214) 727-7221 |
| Full Name | Lisa J. Mcdonald, Dmd, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7247 Delmar Boulevard, St Louis, Missouri |
| Authorized Official Name and Position | Lisa J Mcdonald (OWNER/DENTIST) |
| Authorized Official Contact | 3147271319 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa J. Mcdonald, Dmd, Inc. 7247 Delmar Boulevard St Louis MO 63130 Ph: (314) 727-1319 | Lisa J. Mcdonald, Dmd, Inc. 7247 Delmar Boulevard St Louis MO 63130 Ph: (314) 727-1319 |
| NPI Number | 1306150958 |
|---|---|
| Provider Enumeration Date | 08/05/2010 |
| Last Update Date | 08/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306150958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2001022020 (Missouri) | Primary |
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