Individual
DR. DYLAN JAMES DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5709 ODANA RD, MADISON, WI 53719-1238
(608) 274-5970
Mailing address
301 SAUK CREEK DR, MADISON, WI 53717-1822
(319) 471-3008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6728-015
WI
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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