Mcdonald, Keith E.

Mcdonald, Keith E. is an individual health care provider with primary practice located at 451 Duvall Ave Ne Suite 140, Renton WA 98059-4675. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Mcdonald, Keith E. can be contacted via phone (425) 228-5437.

Contact Information

Primary practice address
451 Duvall Ave Ne Suite 140 Renton WA 98059-4675
Phone: (425) 228-5437
Fax: (425) 663-7990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DE00010042 Washington

Profile Details

NPI number 1023085305
LBN Legal business name Mcdonald, Keith E.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023085305 NPPES
Washington MEDICAID 5048921

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