Individual
ADAM DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8645 251ST ST, BELLEROSE, NY 11426-2407
(516) 417-0414
Mailing address
8645 251ST ST, BELLEROSE, NY 11426-2407
(516) 417-0414
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
058828-1
NY
Other
Enumeration date
07/01/2015
Last updated
11/03/2017
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