Individual
DR. GLEN CARMINE DONNARUMMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
711 YOUNG ST, TONAWANDA, NY 14150-4112
(716) 694-1134
(716) 694-0665
Mailing address
711 YOUNG ST, TONAWANDA, NY 14150-4112
(716) 694-1134
(716) 694-0665
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
040977
NY
Other
Enumeration date
09/06/2006
Last updated
02/21/2017
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