Individual
DR. DIRK MICHAEL DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MSD
Contact information
Practice address
6601 S RURAL RD, TEMPE, AZ 85283
(480) 756-6522
Mailing address
20100 N 78TH PLACE #1196, SCOTTSDALE, AZ 85255
(630) 991-7056
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
7911
AZ
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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