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Individual

DR. MICHAEL T DONOVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1332 N RAND RD, PALATINE, IL 60074-2918
(847) 358-1388
(847) 358-1417
Mailing address
1190 STARWOOD PASS, LAKE IN THE HILLS, IL 60156-4892
(847) 854-4726
(847) 358-1714

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IL

Other

Enumeration date
11/20/2006
Last updated
07/08/2007
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