Individual
DR. DONNA L IANNONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3582 BRODHEAD RD, SUITE 305, MONACA, PA 15061-3142
(724) 728-5500
Mailing address
3582 BRODHEAD RD, SUITE 305, MONACA, PA 15061-3142
(724) 728-5500
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS030581L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010560120001
—
PA
05
—
2158703
—
OH
Enumeration date
01/16/2007
Last updated
01/05/2015
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