| NPI | 1225119274 |
|---|---|
| Doing Business As | MCDONOUGH FAMILY DENTAL ASSOCIATION |
| Entity Type | Organization |
| Authorized Contact | JAMES P MCMULLEN Dentist 770-957-5214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |