EDWIN KENNETH MCDONALD

GARY, IN
NPI1528173853
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IN  8052)
Enumeration Date2006-08-19
Last Update Date2007-07-08
Business Address
EDWIN KENNETH MCDONALD DDS
3195 BROADWAY
GARY, IN 46409-1006
Phone number: 219-887-0104
Mailing Address
EDWIN KENNETH MCDONALD DDS
3195 BROADWAY
GARY, IN 46409-1006
Phone number: 219-887-0104