Organization
THOMAS J DONAHUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANEL PUSKAR (FINANCIAL COORDINATOR)
(570) 674-7474
Entity
Organization
Contact information
Practice address
40 MAIN ST, DALLAS, PA 18612-1804
(570) 674-7474
(570) 674-2984
Mailing address
40 MAIN ST, DALLAS, PA 18612-1804
(570) 674-7474
(570) 674-2984
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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