Individual
DR. MARIETTA DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
21 NO BURLINGTON RD, SOUTHWOOD STATE PRISON ALLCARE, BRIDGETON, NJ 08302
(856) 459-7206
Mailing address
10 DICKANS LANE, MT LAUREL, NJ 08054
(856) 727-1370
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
220101238000
NJ
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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