| Cheryl E. Mcdonough, DMD, APC | |
|
67 Via Pico Plz San Clemente CA 92672-3998 | |
| (949) 492-0042 | |
| (949) 492-0047 |
| Full Name | Cheryl E. Mcdonough, DMD, APC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 67 Via Pico Plz, San Clemente, California |
| Authorized Official Name and Position | Cheryl Eileen Mcdonough (PRESIDENT) |
| Authorized Official Contact | 9494920042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cheryl E. Mcdonough, DMD, APC 67 Via Pico Plz San Clemente CA 92672-3998 Ph: (949) 492-0042 | Cheryl E. Mcdonough, DMD, APC 67 Via Pico Plz San Clemente CA 92672-3998 Ph: (949) 492-0042 |
| NPI Number | 1962524454 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 06/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962524454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 44939 (California) | Primary |
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