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1760048557
MARK THOMAS MCDONOUGH
INDIANAPOLIS, IN
NPI
1760048557
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: IN 12013134A)
Enumeration Date
2019-05-16
Last Update Date
2019-05-16
Business Address
Dr. MARK THOMAS MCDONOUGH DDS
550 UNIVERSITY BLVD
INDIANAPOLIS, IN 46202-5149
Phone number: 317-274-8300
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Mailing Address
Dr. MARK THOMAS MCDONOUGH DDS
550 UNIVERSITY BLVD # 3145
INDIANAPOLIS, IN 46202-5149
Phone number: 317-274-8300
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