Individual
DR. BRENDAN MICHAEL DONOGHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
327 S MAPLE ST, ESCONDIDO, CA 92025-4122
(760) 745-2550
Mailing address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
033279
CA
1223G0001X
General Practice Dentistry
33279
CA
Other
Enumeration date
10/04/2006
Last updated
03/21/2018
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