Individual
DONNA J PASSINO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
EFDA
Contact information
Practice address
959 WYOMING AVE, SCRANTON, PA 18509-3023
(570) 504-0882
(570) 504-0879
Mailing address
124 CROWN AVE, SCRANTON, PA 18505-2003
(570) 351-8652
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
DF-002-111-L-T
PA
Other
Enumeration date
06/12/2006
Last updated
07/08/2007
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