Individual
DR. CHRISTINA MARIE DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10510 GRAVELLY LAKE DRIVE, COMMUNITY HEALTH CARE, LAKEWOOD, WA 98499
(253) 589-7188
(253) 722-1546
Mailing address
1019 PACIFIC AVENUE #300, COMMUNITY HEALTH CARE, LAKEWOOD, WA 98402
(253) 722-1540
(253) 722-1546
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
RR60384485
WA
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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