Individual
DR. PAMELA KRISTINE DONOHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401006667
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06667
DELTA DENTAL
VA
01
—
461805
ANTHEM
VA
Enumeration date
08/31/2006
Last updated
07/08/2007
Update your record
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