Individual
DR. JANSEN DONOGHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8000 EUBANK BLVD NE, ALBUQUERQUE, NM 87122-3225
(505) 298-6732
Mailing address
4604 BENTGRASS MDWS NE, RIO RANCHO, NM 87144-5757
(505) 514-8795
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DRES182007
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DRES182007
TRAINING
NM
Enumeration date
06/22/2007
Last updated
04/04/2025
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