Individual
GRACE DONOGHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
81 WEST ST, LEOMINSTER, MA 01453-5649
(978) 534-9216
(978) 537-6931
Mailing address
81 WEST ST, LEOMINSTER, MA 01453-5649
(978) 534-9216
(978) 537-6931
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16024
MA
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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