McDonough Dental Corporation
McDonough Dental Corporation provides General Practice Dentistry in Los Angeles, California. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
12013 Wilshire BlvdLos Angeles, CA 90025-1201
Phone: (310) 219-6039
Fax: (310) 219-6038
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1386285427 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shaelan McDonough — Owner · (310) 219-6039 |
| Other names | Brentwood Modern Dentistry Dental Group; Brentwood Modern Dentistry Dental Group |
| NPI enumerated | September 30, 2019 |
| Last updated in NPPES | March 8, 2022 |
| Certification date | March 8, 2022 |
| Mailing address | Po Box 920050, Dallas, TX 75392-0050 |
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