Individual
DAVID EUGENE DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4972 DAYTON LIBERTY RD, DAYTON, OH 45417-5946
(937) 287-7201
Mailing address
4972 DAYTON LIBERTY RD, DAYTON, OH 45417-5946
(937) 287-7201
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
OH 18700
OH
Other
Enumeration date
07/06/2012
Last updated
07/06/2012
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