Individual
DR. ANN MARIE MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
25 E 8TH ST, WYOMING, PA 18644
(570) 693-1164
(570) 693-1890
Mailing address
25 E 8TH ST, WYOMING, PA 18644
(570) 693-1164
(570) 693-1890
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS037288
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019875550001
—
PA
Enumeration date
10/31/2007
Last updated
11/24/2014
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