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Individual

PATRICK F DONNELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
105 UNION AVE, BRIELLE, NJ 08730-1813
(732) 528-8181
(732) 528-5228
Mailing address
105 UNION AVE, BRIELLE, NJ 08730-1813
(732) 528-8181
(732) 528-5228

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI017262
NJ

Other

Enumeration date
12/18/2007
Last updated
12/18/2007
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